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Occupancy Permit - Change to Existing/Approved Occupancy Permit

  1. Occupancy Permit - Change to Existing/Approved Occupancy Permit

  2. Please Note Very Important Instructions for Completing This Form

    Please note, this is not the occupancy permit. This is the application form. Do not move in any additional persons until an updated occupancy permit has been issued to you. This transaction is not complete until the listed HEAD OF HOUSEHOLD has submitted this form along with their photo ID (State Issued Driver’s License or ID card and/or Passport and the same for any additional household members. The City of Maplewood cannot accept this information through the website. Please call City Hall at (314) 645-3600 during regular business hours of Monday through Friday, 8:30 a.m. to 5:00 p.m. to make arrangements with the staff for receiving the copies of the IDs. You may Fax the information. The City of Maplewood Fax number is (314) 646-3676

  3. I wish to make the following changes to my existing occupancy permit:*


  4. Gender of Applicant*

  5. Driver's License No. - Must be provided to City Hall staff before Occupancy Permit is approved/issued.


  6. Gender of Spouse


  7. Please provide first & last names of children (if occupying unit)

  8. Please provide first & last names of other persons who will be occupants of unit

  9. Gender of Other Occupant


  10. Will you have any animals occupying the premises?*



  11. I certify that I am the proposed occupant, and that the answers written here are true and accurate in all respects to the best of my knowledge.*

  12. I REPRESENT THAT THE INFORMATION PRESENTED ON THIS FORM IS TRUE AND ACCURATE IN ALL RESPECTS. I UNDERSTAND THAT ONLY THOSE INDIVIDUALS LISTED ON THE OCCUPANCY PERMIT ARE LAWFULLY ALLOWED TO OCCUPY THE PREMISES AND THAT IT IS A VIOLATION OF THE CITY CODE FOR ANY PERSON NOT LISTED ON THE OCCUPANCY PERMIT TO OCCUPY OR TO BE ALLOWED TO OCCUPY THE PREMISES. PLEASE PROVIDE YOUR PHOTO IDENTIFICATION SO THAT A COPY MAY BE MADE TO ATTACH TO THIS APPLICATION FORM.

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