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Designated Agent Registration Form-Rental Inspections

  1. This document serves as official notification that I, the owner of the property located at the address below, do hereby designate the party below as the “Designated Agent” empowered as the owners’ representative in matters concerning compliance with the City of Waukee Property Maintenance Code and other rental property requirements of Chapter 222A Residential Rental Code of the City of Waukee.

  2. Property Owner Information

  3. Designated Agent Information

  4. Leave This Blank:

  5. This field is not part of the form submission.