APPLICATION FOR RENTAL OPERATING LICENSE

"*" indicates required fields

I. Property Information & Fee Due

Address*

Street Address City State ZIP Code

Number of units in structure*

Please enter a number greater than or equal to 1.

Number of units being inspected*

Please enter a number greater than or equal to 1.

Fees

Price: $0.00

Fee is $75 per unit being inspected.

II. Owner/Property Manager Information

If owner is not a full-time resident within the borough of Verona and/or lives outside a 15-mile radius of the Borough, the owner is required to enlist the services of a property manager who lives within the stated radius and who will control the work/business affairs of the property owner.

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

III. Owner/Property Manager E-Signature

If owner is not a full-time resident within the By signing their name(s) below, OWNER/LANDLORD/MANAGER of the property assumes full responsibility for all ordinances pertinent to owning/renting property in the Borough of Verona.

Electronic Signature*

Please type your full name above to serve as your electronic signature. By signing above, OWNER/LANDLORD/MANAGER of the property assumes full responsibility for all ordinances pertinent to owning/renting property in the Borough of Verona.

Any deliberate misstatement upon the form is prosecutable as an unsworn falsification as provided by S4904 of the PA Crimes Code.

Total fee due

Clicking 'Continue to Payment' below will redirect you to the MuniciPAY hosted payment portal. Once payment has been processed you will be returned to this site to finalized your submission.

Borough Office

I. Property Information & Fee Due

II. Owner/Property Manager Information

III. Owner/Property Manager E-Signature

Municipal Office

Office Hours

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