Form Center

2. For Structure with 3 or Less Dwellings Units

   All information is required for processing. Failure to fill out all of your information with the required documents will result in the delay of your permit and project.

   Fee: $150 per unit

4. What Type of Applications is This?*

   1. New
   2. Renewal
5. Is the Applicant the Property Owner?*

   1. Yes
   2. No
7. Name of the Apartments:
9. Property Owner*
11. Property Owner Phone Number*
13. Property Owner Email Address*
15. Property Owner Address*
17. City
18. State
19. Zip Code
21. Property Manager*

    Please mark "N/A" if no applicable.

23. Property Manager Phone Number*
25. Property Manager Email Address*
27. Property Manager Address*
29. City
30. State
31. Zip Code
33. Property Information
35. Address*
37. Number of Units*
39. Emergency Contacts
41. 24-Hour Emergency Phone Number for Residents*
43. 24-Hour Emergency Contact Person for Police, Fire & Emergencies

    Name

44. Emergency Contact Phone*
46. Emergency Contact Email*
48. Application Checklist

    All of the following are required with the submission of your application:

    • Mount Rainier Permit Application fees
    • Lead Certificate

    Register or annually renew the registration of the affected property through the Maryland Department of the Environment (MDE) at the MDE website or by phone at 800-776-2706.

50. Upload File
52. Upload File
54. PERMIT INFORMATION AND COMPLIANCE

    I have carefully examined and read the above application and hereby swear or affirm all information is true and correct and that in renting these dwelling units, all provisions of the City of Mount Rainier's Ordinances, Prince George's County Ordinances, and State laws will be complied with whether herein specified or not. By Making this application, I am granting permission to the City to make inspection (s) of the retail property described herein for the purpose of determining compliance with the City of Mount Rainier City Code Chapter 3A, Standards for Property Maintenance, and Chapter 7, Licenses and Permits.

    Ordinance 1-2016 states that the fines for the expiration of my license are: $250.00 for the first violation, $500.00 for each month that the violation continues, and $1000.00 for repeat violations in the same one-year period as amended. Other fines and penalties may apply. The entire ordinance can be found at mountrainiermd.org. Further, I agree to conform to all applicable laws and ordinances of jurisdiction.

56. Name of Applicant / Representative*
57. Date*
    Date
59. Make a Payment
    Fee
60. Price
61. Quantity
62. Shipping Cost
64. Taxable
Leave This Blank:


66. Calculate Totals Proceed to Checkout

* indicates a required field