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County of Alpine Community Development 50 Diamond Valley Rd Markleeville, CA 96120 [PHONE REDACTED] Fax:[PHONE REDACTED] alpinecountyca.gov Residential Short Term Rental Registration Form Project And Site Information Owner Name Project Location/Physical Address Mailing Address Assessor's Parcel No. Owner Phone Owner Email Property Manager Information (If Applicable) Name of Company or Agent Mailing Address Phone Cell Email Contact Name Contact Cell Contact Email Emergency Contact For Rental (If Different From Owner or Property Manager) Name Address Phone Cell Email Authorization and Acknowledgements (Please check each) I certify that the information I have submitted is true and correct to the best of my knowledge. In filing the registration application I am acting with the knowledge and consent of those person(s) who are owners of the subject property. I confirm that all of the units listed in this registration have the following items present in each unit: I. Operating smoke detector(s) and carbon monoxide detector(s) installed in accordance with state law. II. At least one functioning fire extinguisher in an easily accessed location. III. Written information in a conspicuous location containing 24/7 emergency contact information for a representative of the property owner or rental agent, and contacts for law enforcement, fire department, and ambulance services. I understand that transient lodging tax equal to 10% of the rent collected for the residential short term rental must be paid to Alpine County pursuant to Alpine County Code Section 13.6 I understand that residential short term rental that is the subject ot this regulation must be operated in full compliance with Alpine County Code Section 18.73 which is attached to this acknowledgement. Failure to comply with these requirements is a violation of the Alpine County Code. If non-compliance occurs, the county may pursue enforcement and penalties as provided by law. Signature of Person Submitting Registration Acknowledgement by Alpine County Community Development Department Unit # SIGN