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Residential Rental Unit Registration Form


Inspection Fee
Your registration is not complete until you contact Building and Safety at 661/267-5353 and pay the fees. Please refer to the Rental Registration Program document for a list of the fees. This form should only be used for registering single family residences. All multi-family dwellings should contact Building and Safety to register.

* = Required Field
Please use only letters and numbers, commas, periods or apostrophes in the form fields.
Other special characters will not be allowed.


*Address:

*Cross Streets:
*Number of Buildings:

 *Total Number of Units:
List of Unit Numbers per Building:
Owner Information
*Owner's Name:
*Address:

*City:
 *State:
 *Zip:
*Phone Number:

 *24 Hour Contact Number:
*FAX:
*E-mail Address:

 *Confirm E-mail Address:
Manager/Agent Information
*Name:


*Agent:


*Manager:
*Address:

*City:
 *State:
 *Zip:
*Phone Number:

 *24 Hour Contact Number:
*FAX:
*E-mail Address:

 *Confirm E-mail Address:
*Name of Applicant or Agent


*Date

Auxiliary Aids provided for Communication Accessibility upon 48 hour notice and request. TDD 661/267-5167
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