Property Owner Name *

First Name

Last Name

Operator Name *

First Name

Last Name

Operator's Phone *

(###)

###

####

Operator's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Address where you'd like Transient Occupancy Registration Certificate mailed

if different than above

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Rental unit type *

choose one

Single Family Dwelling

Duplex

Apartment

Mobile Home

Hotel room

Accessory Dwelling Unit (ADU)

Other

Local Contact Person name *

for emergencies at rental

First Name

Last Name

Local contact person's Phone *

where they can be immediately contacted

(###)

###

####

Local Contact Person's address *

(Must live within 45 minutes of rental)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

This short term rental is the property's *

pick one

Primary Dwelling unit

Secondary Dwelling unit

Date of most recent inspection by the Dunsmuir-Castella Fire Department

MM

DD

YYYY

Do you have a fireplace or wood stove?

Choose one

Fireplace

Woodstove

Is street address of STR posted and visible from road? *

choose one

YES

NO

Interior Posting Requirements *

Acknowledge each of the following is posted within the rental (Check off)

Name of Operator

Telephone # of contact person

Maximum # of guests

Maximum # of vehicles

Trash and recycling rules and regulations

Snow removal street parking regulations

Description of City's Audible Alert System

Sheriff's Office contact number