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ROOMING HOUSE LICENSE CERTIFICATE
A Rooming House License has been granted for a rooming house at
5Q5 H1EST IRVI~lG AVENUE ~ ,Oshkosh, Wisconsin as described
below, and in rooming house application number 5~2
Owner: ~,pY ~ :~RVILLA ~RESEN Agent: f E C 0 P
~USf~ TIklBLEBROOK DRIVE
Date of Issuance: AUGUST y, 1~ ExpirationDate: AUGUST v, 1~7
Maximum Total Occupancy: ]2 Persons
Maximum Occupancy by floor:
Second Floor: ~_ Persons
First Floor: Persons
Third Floor: NA Persons
Maximum Occupancy of each sleeping room by number:
1 2 2~3~4 2 5 2 6 2 7 X 8 X 9 X 10 X
NOTE: 1. The Rooming House License .card must be displayed in a conspicuous
place within the communal areas of the building.
2. The Housing Inspector must be notified within forty-eight hours after any
transfer of legal control of arty licensed rooming house.
3. This License may be revoked at any time violations of the Minimum
Housing Code are not corrected by a date specified on a notice listing the
violations.
4. The License must be renewed for continued use of the rooming house.
Application for renewal should be.made thirty days priorto expiration date.
Application forms for renewal of the license are available from the Housing
Inspector. The payment of a license fee of 825.00 per license must
accompany the application. No license will be renewed unless the
applicant owner agrees on his application to such inspection as the
Housing Inspector may require to determine whether the rooming house
is in compliance with the provisions oft Minimum Housin de.
5. Please keep this Certificate for your re ord
1 _
HOUSING INSPECTOR