Short Term Rental Application

Village of Cayuga Heights

Datefield type date
Date will be captured on form submission
Name*field type single line
Owner's Name
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Address*field type single line
Address of rental
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field type single line
City
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field type single line
State
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field type number
Zip
Is the land owners mailing address the same as the rental unit?*field type radio button
Is the land owners mailing address the same as the rental unit?YesNo
Mailing Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Email*field type email
Phone Number*field type number
########## (No spaces or dashes, max length 10 digits)
Number of Rooms*field type number
Websitefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Fire and Safety Compliance*field type checkbox
Fire and Safety ComplianceI acknowledge that I am in compliance with the Short Term Rental Fire and Safety Checklist
Click here to view the Fire and Safety Checklist
Are you renewing your application?*field type radio button
Are you renewing your application?YesNo
Please provide a copy of the previous year's visitor's log. You may attach it with this application, drop it off at the Clerk's Office or mail it in with your fee to 836 Hanshaw Road.
Visitors Logfield type file upload
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150field type currency
$
Please remit payment to the Village of Cayuga Heights within ten (10) business days after form submission. Payment instructions will be sent to the email provided above.
If you do not receive an email within 24 hrs of submission, please contact the Clerk's office at 607-257-1238 ext.100.
field type date
File Uploadfield type file upload
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