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NO: 536
CITY OF OSHKOSH
ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Date r' %'`! ~'y Address of Proposed Rooming House ~~~ ~f ~~~~~~ RAE
Owner ~.t~r;u~" :~ Arvt 1:~~.-x ~t~~~:~ :;mot. Address ~CIW~ ~L~:=~tl~~~~,~ie ~~ .
C3s~~c~iF ~i~ 5~~1°~
Operator ~ ~ _„- ~ ,~ Addr _
Agent designated to receive'notices ~ ~ iii ~ ~ --
_ _ _,
Address _
Type-of,occupancy at'present ~, ': -,: : -,.~
Length of time in present occupancy M -I ~, ~ c t?:,
Number of sleeping rooms
Maximum number of occupants per sleeping room;
# 1 ~= #3 ~ #5 ~ #7 #9
(FEE) ~~.0~
_ #2 ~ #4 ~ #6 #8 #10 Paid. ~'
Bed Linen and towels furnished by ;~ c„ ~E ~ = i ~ t-
Responsibility for cleanliness of sleeping rooms- ~ ~.+ ~ ^ ~. rt f„
Heatingplant is capable of maintaining the premises at 65° F, when the outside timperature is -15° F.
Water heating facilities-are capable of heating wvater to a temperature of at least 120°'F.
TO THE HOUSING .INSPECTOR:. The undersigned hereby applies for a License to operate a rooming house as
,described in this application. Operation will be in compliance with the minimum housing code and other ordinances
_;of_ahe City of Oshkosh and building code of the State of lllfisconsin. _!n accordance with S.~ 7.1:73 (1.11 -(d)-o# the. _
... _ _.
Municipal Code of the .City of Oshkosh, it is further agreed, that the City Clerk will be immediately notified
- of any change of agent. In accordance with S. 11.13 (i1) (e) of the Municipal Code of the City of Oshkosh, it is
.further agreed that written notice will be given the Housing Inspector within 48 hours after transferring or otherwise
disposing legal control of the above rooming house.
Signed: ~-;,~~`=~1 ~,F f ~ ~ A ~'`~.~
`{~ ' -
rJ~.~Li aE.lS7i~~:;>,;,Tt`IL".{ ~~ ~Si~Iric..St'i ;~1].
y-<-..., Address ~ ~ ~'E~t x
~,
f~ ~`. ~
..Address -
OFFICE USE ONLY
Date received
Zoning '
Inspected by
Date