CITY OF BLACK JACK OCCUPANCY PERMIT APPLICATION

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PLEASE LIST ALL PERSONS WHO WILL OCCUPY THE DWELLING UNIT:
I/We hereby certify that I/we am the proposed occupant(s) and that the answers contained herein are true and accurate in all respects to the best of my/our knowledge and belief. I/we further certify that I/we understand that this is an APPLICATION ONLY and that it is unlawful for me/us to occupy said dwelling unit until an approved Occupancy Permit shall have been obtained from the City of Black Jack, Missouri
OCCUPANCY PERMITS FEES MAY NOT BE REFUNDABLE
Email all supporting documents to deputycourtclerk@cityofblackjack.com
Driver's License
Marriage License
Birth Certificates
Copy of lease if renting/leasing
 
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