Application for Residential Rental License

2. Legal Address(es) for Rental Dwelling*

   List addresses of all residences you are registering. For an apartment complex, list the office or main address.

4. Type of Rental Dwelling Unit:*

   1. Single Family Unit (house, condo, townhome or similar)
   2. Duplex - Both units rented
   3. Duplex - 1 rented and 1 owner-occupied
   4. Multi-Family Building (apartments)

6. Total Number of Rented Units

7. Number of Buildings if Multi-family

9. Fee Calculation

   Single Family Unit or Owner-Occupied Duplex

10. Price

11. Quantity*

13. Taxable

14. Shipping Cost

16. Duplex - Both units rented

17. Price

18. Quantity*

20. Taxable

21. Shipping Cost

23. Multi-Family Building or Complex

24. Price

25. Quantity*

    Price is $180 per complex, not per building, plus the unit fee

27. Shipping Cost

28. Taxable

30. Multi-Family Unit Fee

31. Price per unit

32. Total Number of Multi-Family Units*

    List total number of units for all complexes or buildings you are licensing

34. Taxable

35. Shipping Cost

39. Owner/Partner/Corporate Officer

41. First and Last Name or Business Name*

43. Address*

45. City*

46. State*

47. Zip Code*

49. Phone Number*

50. Alternate Phone Number

52. Email Address*

54. Driver's License Number OR State Identification Number OR Date of Birth*

58. Property Manager or Management Company (If applicable)
    Note: Property owners who do not live within a 50-mile radius of the property must name an operator/manager living within 50 miles of the dwelling.

    Note: Property owners who do not live within a 50-mile radius of the property must name an operator/manager living within 50 miles of the dwelling.

60. First Name

61. Last Name

63. Address

65. City

66. State

67. Zip Code

69. Phone Number

70. Alternate Phone Number

72. Email Address

74. Driver's License Number OR State Identification Number OR Date of Birth

76. Notice to Applicants
    The City of Edina has implemented Ordinance No. 2019-06 and adopted the 2015 Ordinance Property Maintenance Coed (IMPC) for licensing and inspecting rental properties. City Code Chapter 23, Article VI, including the adoption of the IPMC, is available on the <a href="http://edinamn.gov">City's website</a>. The 2015 International Property Maintenance Code is available <a href="https://codes.iccsafe.org/content/document/1290">here</a>.

    The City of Edina has implemented Ordinance No. 2019-06 and adopted the 2015 Ordinance Property Maintenance Coed (IMPC) for licensing and inspecting rental properties. City Code Chapter 23, Article VI, including the adoption of the IPMC, is available on the City's website. The 2015 International Property Maintenance Code is available here.

78. THE MINNESOTA DATA PRACTICES ACT requires that we inform you of your rights about the private data we are requesting on this form. Private data is available to you, but not to the public. We are requesting this data to determine your eligibility for a license from the City of Edina. Providing the data may disclose information that could cause your application to be denied. You are not legally required to provide the data, however, refusing to supply the data may cause your license to not be processed. Under M.S. 270.72, the City of Edina is required to provide the Minnesota Department of Revenue your MN Tax ID Number and Social Security Number if each license applicant. This information may be used to deny the issuance, renewal or transfer of your license if you owe the Minnesota Department of Revenue delinquent taxes, penalties or interest. The Department of Revenue may supply information with the Internal Revenue Service. In addition, this data can be shared by Edina City Staff, the State of Minnesota Driver License Section, Hennepin County Auditor, Bureau of Criminal Apprehension, Hennepin County Warrant Office and Ramsey County Warrant Office. By agreeing below, you indicate that you understand these rights.*

    1. I agree.

Leave This Blank:


79. Calculate Totals Proceed to Checkout

* indicates a required field