Police Department
Office of the Chief of Police
401 Homer Street
Sunnyside, Washington 98944
(509) 836-6211 Office
(509) 837-5873 Fax
Crime Free
Residential Rental Housing
License Application
APPLICATION NUMBER:
DATE OF APPLICATION:
OWNERS NAME:
BIRTH DATE:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE(S):
MANAGERS NAME:
BIRTH DATE:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE(S):
RENTAL LOCATIONS:
TYPE= APARTMENT, DUPLEX, HOUSE, MANUFACTURED
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
ADDRESS:
OCCUPANCY:
TYPE: A D H M (CIRCLE)
I certify that I am in compliance with SMC 5.02 and that all applicants for rental units are required to
complete a lease agreement, Rental Unit Crime Free Lease Addendum, and provide to me a criminal
history check.
________________________________ ___________________________
Owner/Manager Signature Date
Please submit to the Sunnyside Police Department
click to sign
signature
click to edit