Certificate of Use for Rental Dwelling Units

License and Inspection

Rental Dwelling Information

Provide Square Footage of the Living Room, Dining Room, and Each Bedroom
  Room TypeSquare Footage  
Export Clear Add new row
1
  Room TypeSquare Footage  
Export Clear Add new row
1
List the Full Name of the Occupants Residing in the Dwelling Unit
Purpose of Inspection (Indicate Yes or No for all that apply)

Owner/Agent Information

Landlord, Realtor, Manager, or Responsible Agent Information

Buyer Information

Use the Drawing Tool to Sign the Form in the Box Below

Payment Information

Payment of fees for this application will be requested via email once your submission has been reviewed.  Please verify that emails from donotreply@springfielddel.co are not sent to your spam/junk mail folder.  The email will contain a link to this form allowing you to make a secure payment by credit card.  The amount shown below is an estimated amount and may be adjusted once your submission is reviewed.