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Short Term Rental Application - Tillamook County

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					Tillamook County
                                      DEPARTMENT OF COMMUNITY DEVELOPMENT
                                 SHORT-TERM RENTAL PERMIT APPLICATION
                                                                                                     201 Laurel Avenue
                                                                                              Tillamook, Oregon 97141
                      _________________________________________________________________________________________
                      Land of Cheese, Trees and Ocean Breeze          Call For an Inspection Appointment: (503)842-1815
                                                                                                    Phone: (503)842-3408
                                                                                               Toll-Free: 1-800-488-8280

                                                                                                           STR- ________________
                                                                    Owner of
Applicant:
                                                                     Record:
  Mailing                                                            Mailing
 Address:                                                           Address:

               City           State             Zip                              City                 State             Zip
   Phone:                                                               Phone:
   Email:                                                               Email:

Local Contact Person:
                                  Name                                                               Phone Number

                                  Address                                                           Email

Rental Location
Street Address:                                                                         City:
Map and Taxlot Number:

                                                    RENTAL INFORMATION

Year Built:                                                             Number of Stories:
Basement:                [    ]Yes     [      ]No                          Public Sewer: [          ]Yes      [   ]No
Number of Sleeping                                                  Number of Designated
Areas:                                                                  Parking Spaces:
                  I HEREBY CERTIFY THAT ALL STATEMENTS CONTAINED HEREIN ALONG WITH
                  EVIDENCE SUBMITTED, ARE IN ALL RESPECTS TRUE AND CORRECT TO THE BEST OF
                  MY KNOWLEDGE AND BELIEF. I HAVE MET AND WILL CONTINUE TO COMPLY WITH
                  THE STANDARS SET FORTH IN TILLAMOOK COUNTY ORDINANCE #69.



Applicant Signature                                   Date         Owner of Record Signature                            Date

Approval:

Director, Community Develop                           Date
                                                    FOR OFFICE USE ONLY
       Date:                     Fees Paid:                  Check #:                   Rcvd. By:

        Permit Number:                     Permit Valid Until:
        Date of Inspection: