Begin typing site address and select from the populated dropdown
Block
Unit #
ZIP
Qualifier
{[PNAME]}
Use the map below to further drill down to the location of the property address (if applicable), Note that map will not display until address is populated above. Click EDIT and drag the map area until the black crosshair in the center is at the location, then click SAVE.
State
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(856) 914-3018
{[AWEBSITE]}
City
Address
Lot
  • Property Information
  • Contacts
  • Attachments/Certification
Is the property under rent control?
# of Rental Units
Is lead required?
Property Information
Year Built
Is the property commercial?
Tenant Information
Is registration required?
Is it a rental property?
Is the property occupied by the owner?
Is it seasonal?
ZIP
Email
Phone #
License #
City
Address
Mailing Address
Email
Phone #
State
ZIP
Contact Information
Full Name
City
City
Applicant Information
Address
Mailing City, State,ZIP
Email
Email
Full Name
Property Owner Information
Same as Applicant?
Phone #
Phone #
State
Is there a contractor involved?
Contractor Information
Full Name
ZIP
Full Name
Address
State
Type Full Name :
Sign With Hand
Certification
Signature
Attach supporting documents (if applicable).
Fee Due:
Attachments
Application Fee $25 Per Unit
Initial Inspection Fee $250
Reinspection Fee $100
Fee Schedule
I hereby declare and affirm that I am the legal owner or authorized agent of the legal owner of this property, and that all information on this form is complete and accurate to the best of my knowledge.

I, the legal owner or authorized agent of the legal owner of this property, understand that failure to comply with state, county, and local ordinances regarding residential rental dwelling units will result in legal action, which can include but is not limited to Notices of Violation, summons to Municipal Court, property liens, and other penalties.