Fillable Termination of Rental License (City of Duluth)

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Termination of Rental License (City of Duluth)

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File type: PDF

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Life Safety Division • City of Duluth Fire Department
615 West First Street • Duluth, MN 55802
Phone: 218-730-4380 • Fax: 218-730-5902
Email: lifesafety@duluthmn.gov • Website: www.duluthmn.gov/fire/
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
rights.
Property Address:
Owner Information:
Name(s):______________________________________________________________
Address:______________________________________________________________
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
Other:____________________________________________________________
Owner Signature:________________________________________ Date:________________________
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Termination of Rental License (City of Duluth)

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Completed 3 August 2020

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