Community Development Department
1 0 1 s t S t . N W – M a s o n C i t y , I o w a 5 0 4 0 1 – 6 4 1 . 4 2 1 . 3 6 2 6 – F A X 6 4 1 . 4 2 1 . 3 6 2 9
RENTAL UNIT INVENTORY
Complete for each multi-family and mixed use building listed on the application on the reverse
side of this page. You may make additional copies of this page if necessary
In order for the City to implement its Rental Housing Inspection program, we need to collect certain
information about your rental property. This information will be used to determine how much time is
needed to inspect your property. It will also be used to notify your tenants of upcoming inspections, when
required. Please complete this page for the building identified on the reverse side. If there are more than
14 units in the building, you can copy this page and attach it to the application. If there is more than one
building on the property, please complete a separate inventory page for each building.
LEGAL ADDRESS OF BUILDING: ____________________________________
Please type or print legibly. Attach additional pages as needed.
Mailing Address of Unit
# of
Bedrooms*
# of
Bathrooms**
ex.
2435 Red Oak Lane, Apt #4C
2
2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
* Efficiency and rooming units count as 1 bedroom
** ¼, ½, and ¾ baths count as 1 bathroom