2. Village of Swansea Occupancy Permit Application
4. Name of Applicant
6. Address of Property
8. Phone Number
10. Your Email Address
12. Did you purchase or leasing?*

    1. Rental
    2. Purchase
13. Closing Date or Lease Date
15. Name & Address of Leasing agent
17. Anyone Occuping the premises for which this permit is issued must be named hereon. Any person not named hereon who moves into these premises is violating the law unless an Occupancy permit is applied for and issued in his or her name. List all persons for this permit below.
19. First and Last name
20. Relationship
21. Date of Birth
23. First and Last name
24. Relationship
25. Date of Birth
27. First and Last Name
28. Relationship
29. Date of Birth
31. First and Last Name
32. Relationship
33. Date of Birth
35. First and Last Name
36. Relationship
37. Date of Birth
39. First and Last Name
40. Relationship
41. Date of Birth
43. Applicant's Signature (Type Name)
44. Date
46. Upload Documents
    Attach Lease and Photo ID
47. Additional Documents
49. Additional documents
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field