Life Safety Division City of Duluth Fire Department
615 West First Street • Duluth, MN 55802
Phone: 218-730-4380 • Fax: 218-730-5902
Email: • Website:
Termination of Rental License
If your property is no longer used as a rental property, please complete this form, sign, and
return to the Life Safety Division.
If a rental license is terminated, the dwelling may lose any grandfathered rights. Please call
the Life Safety office if you have questions regarding the loss of grandfathered rental property
Property Address:
Owner Information:
Cell Phone:______________________ Alternate Phone:_______________________
Email Address:_________________________________________________________
The property has ceased to be used as a rental due to:
Property is now Owner Occupied
Property has been sold
Property has been demolished
Owner Signature:________________________________________ Date:________________________
click to sign
click to edit