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Complete all requested information. List the names of all those who will occupy this residence and the relationships to the owner or principal leaseholder. City of Byrnes Mill Ordinance does not allow more than three (3) unrelated individuals to live in the same residence (Section 400.690). Any missing or incomplete information may delay issuance of the occupancy permit.
One (1) occupant per 200 sq ft living space
(only if different from applicant)
I hereby certify that the information contained in this application is correct,the premises will be used strictly for dwelling purposes only, and that I will conform to all applicable laws of the City of Byrnes Mill.
If you are unable to scan and upload a copy of your driver's license, please submit a copy to Byrnes Mill City Hall upon completion of this form.
By typing your name, you acknowledge understanding and completion of this form.
This field is not part of the form submission.
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