HomeMy WebLinkAboutShort_Term_Rental_ApplicationMarch 2025
Owner Information Contact Person/ Resident Agent
Name: Owner □ (if other, fill in below)
Mailing Address: Name:
City, State, Zip: Mailing Address:
Telephone: City, State, Zip:
Email Address: Telephone:
Email Address:
Checklist for Application:
Short-Term Rental Application
Check applicable box:
□ New Application
□ Renewal Application
1. Winnebago County Tourist Rooming House License or Winnebago County Bed and
Breakfast License issued under Wis. Stat. Sec. 254.64;
2. Copy of a completed State Lodging Establishment Inspection form dated within one (1)
year of the date of issuance or renewal;
3. Seller’s permit issued but the Wisconsin Department of Revenue, if any;
4. Designation of the Resident Agent (if applicable)
5. Room Tax permit; and
I hereby certify that to th e best of my knowledge all required application materials are included with this
application. I am aware that failure to submit the required completed application materials may result in
denial or delay of the application request.
Signature of preparer Date
For City Use Only
Permit Number:
Date Issued:
Ci ty Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 https://www.oshkoshwi.gov/