HomeMy WebLinkAboutDesignation of Agent
(Date)
City of Iowa City of Iowa City
Department of Housing & Inspection Services
410 E. Washington St.
Iowa City, IA 52240
Re: Designation and Registration of Designated Agent
This document serves as official notification that I, , as
the property owner/condominium association representative (circle one) for property located at
, do hereby designate and register with the
Department of Housing and Inspection Services (name) as the
“Designated Agent” (defined in 17-5-3, Iowa City Code) empowered as the owners’
representative in matters concerning compliance with the Iowa City Housing Code. This
designation is made in compliance with 17-5-15 of the Iowa City Code.
Name of Property Owner/ Name of Designated Agent
Condominium Assoc. Representative
Signature of Property Owner/ Address of Designated Agent
Condominium Assoc. Representative
City Zip
D a t e ( )
Phone
Signature of Designated Agent
D a t e
wpdata\hisinsp\agent.doc