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~`,~- City of Oshkosh
~uNE 25, 1993
` ROOMING HOUSE LICENSE
O.fHK01H 60 DAY EXPIRATION NOTICE
ON THE WATER
LEROY ANDRESEN
5030 TUMBLEBROO~S',DR f'
OSHKOSH, WI „ X4904
ROOMING HOUSE LOCATED AT:
505 WEST IRVING AVENUE
LICENSE EXPIRES 8~27~93
According to our records, the license for operating
the rooming house referred to above will expire within
60 days. In order to renew the license, please fill out
the application form enclosed with this letter and return
it to this office within l5 days. The fee for renewal is
$25.00 per year. Make your check or money order payable
to the City of Oshkosh.
Please contact me within 30 days for an appointment
to reinspect the rooming house. A reinspection is re-
quired before a license will be renewed. Licenses will
also not be issued until all violations have been correct-
ed.
The Oshkosh Municipal Code 16-40 (C), states that no
person may operate a rooming house unless he/she holds a
current license or temperoary permit issued by the Housing
Inspector in his/her name for the specific rooming house.
Penalties for operating a rooming house without a
current license are listed in Section 16-46.
If you have any questions, feel free to contact me
in the Code Enforcement Office, Room #205, City Hall or
call 236-5137. ~
i
Si ce ely, l
BR CE L~ E
HOUSING I S,PECTOR
enclosure
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NO.
CITY OF OSHKOSH
ROOMING HOUSE INSPECTION AND LICENSE APPLICATION
Date Address of Proposed Rooming House
Owner.
Operator.
Address '
Address
Agent designated to receive notices
Address
Type of occupancy at present
Length of time in present occupancy
Number of sleeping rooms
Maximum number of occupants per sleeping room:
# 1 # 3 # 5 # 7 # 9 (FEE)
#2_ #4 #6 #8 _ #10 Paid:
Bed Linen and towels furnished by
Responsibility for cleanliness of sleeping rooms
Heating plant is capable of maintaining the premises at 65° F, when the outside timperature is -15° F.
Water heating facilities are capable of heating water 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 the City of Oshkosh and building code of the State of Wisconsin. In accordance with S. 11.13 (11) (d) of 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 (11) (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.
S
Agent
License Issued:
,c ,~ ~~.:
Address
~I
Address
OFFICE USE ONLY
Date received
Date
Number
Zoning
Inspected by.