LANDLORD/OCCUPANT DECLARATION OF COMPLIANCE AND DISCLOSURE
Dwelling:
(Street Address)
Owner: Telephone: Street Address:
Owner's Authorized Agent:
Telephone: Street Address:
For each dwelling unit subject to the provisions of the Athens City Code, this form must be current, completed and signed
by the owner or the owner's agent and by each occupant at the time of renting or leasing any residential rental property or
at the time of any change in ownership, or occupancy of any residential rental property. This form shall be kept by the
occupants at the address of the residential rental property above. The occupants shall make it available immediately
upon request to an Athens City Code Enforcement Officer or Police Officer in connection with an investigation of a
violation occurring at the residential rental property.
DECLARATION OF COMPLIANCE WITH OCCUPANCY RESTRICTIONS
I have made personal and diligent inquiry and make this declaration based upon personal knowledge. The names of all
the occupants, other than minor children living with a parent or other legal custodian, who reside in this dwelling, are as
follows. If any relationship is claimed between occupants for the purpose of claiming the benefit of the family exemption
that allows three adults to reside in the dwelling, the names of the occupants who claim to be related shall be identified
below, together with the names of the persons through whom they claim to be related. You are not required to provide
information concerning relationships unless more than four adults reside in the dwelling, and the dwelling is located in an
R-1 or R-2 Zone.:
Name: ______________________________Relationship:_____________________
Name: ______________________________Relationship:_____________________
Name: ______________________________Relationship:_____________________
Name: ______________________________Relationship:_____________________
NOTICE OF DISCLOSURE TO OCCUPANTS
PLEASE READ CAREFULLY THE INFORMATION PROVIDED BELOW CONCERNING LOCAL LAWS AND DISCUSS
IT WITH YOUR LANDLORD. THIS NOTICE PROVIDES INFORMATION YOU WILL NEED TO KNOW WHILE LIVING IN
A RENTAL DWELLING UNIT OR ROOMING HOUSE. The summary paragraphs below are not meant to be a substitute
for careful reading of the complete ordinances found in the Athens City Code.
Occupancy Restrictions
Section 29.03.04 The Rental Dwelling or Rooming House Permit shall state the maximum number of persons
who may occupy the rental dwelling or rooming house.
Front Yard Parking
Section 23.08.01 Exclusive of hard surface driveways where parking is permitted, off-street parking areas or
parking structures for residential structures shall not be located in front of any residential structure.
Trash Can Placement
Section 5.02.03 All trash cans shall be kept in containers stored out of view from the street behind the front
edge of the house except when the containers are at the curbside for pickup. Trash cans may be placed at the curbside
after 7:00 p.m. the day before the regularly scheduled pickup day, plastic bags may be placed at curbside for pickup but
no earlier than 7:00 a.m. the day of regularly scheduled pickup. Trash cans and recycling containers shall be removed
from the curb by sundown on the pickup day.
Recycling
Section 5.05 Recycling is to be placed curbside on the same day as scheduled trash pickup but should not be
intermingled with trash as it will result in extra bag charges. Place recycling so it is separated from the trash. As no one
pays for recycling, multiple apartments or homes may pile recycling together.
Recycling Materials Accepted:
Aluminum - Rinse aluminum beverage cans and place in grocery sacks. Scrap aluminum (foil, pie pans, etc.) & aluminum
cat food cans should be rinsed, placed in separate sacks.
Glass - Rinse, remove caps, and separate by color (clear, brown). Place in grocery sacks. Labels need not be removed.
Metal caps may be recycled with steel cans. Green and blue glass no longer accepted.
Plastic - Small-mouth #1 and #2 plastics only. Milk jugs, pop bottles, shampoo and detergent bottles. Remove caps, rinse
and place in grocery sacks. Jugs may be stepped on to save space. No wide mouth containers (butter tubs, cottage
cheese, yogurt containers), plastic bags, or plastic caps. Look for recycling symbols with numbers on the bottom of the
container.
Corrugated Cardboard - Brown corrugated and paper grocery sacks only. Must be flattened. Place in boxes, bags, or tied
bundles.
Mixed Paper - Letterhead, copy paper, notebook paper, other white office paper. Remove paper clips. Staples need not
be removed. Most other non-glossy colored paper and envelopes, with or without windows. Place in grocery sacks. Other
paper types, such as file folders and green bar computer paper, are also accepted, but must be placed in separate sacks.
Newspaper - Stack neatly in grocery sacks or bundle with twine. Do not mix with other paper. Slick ads need not be
removed, or may be placed with magazines.
Magazines and Catalogs - Place magazines, catalogs, phone books, and glossy paper in grocery sacks.
Paperboard - Cereal boxes, cracker boxes, pop and beer cartons, egg cartons, paper towel rolls, etc. Remove plastic
inserts. Flatten and place in grocery sacks or large paperboard box.
Call the Athens-Hocking Solid Waste District at (740) 797-4208 for more information.
Litter
Section 29.12.01 & 13.07.06 All exterior property areas and premises shall be maintained in a clean, safe and
sanitary condition free from any accumulation of rubbish or garbage. The occupant shall maintain the exterior property
area in a condition that does not deteriorate or debase the appearance of the neighborhood or adversely alter the
appearance and general character of the neighborhood that creates a fire, safety, or health hazard, or is a public nuisance
that contributes to neighborhood blight. No person shall place or dispose of any garbage or waste, or peelings of
vegetables or fruits, ashes, cans, bottles, wire, paper, cartons, boxes, furniture, glass, oil, or anything else of an unsightly
or unsanitary nature on any land adjoining a public road.
Accumulation of Refuse
Section 29.34.02 & 5.02.11 Every occupant shall dispose of all solid waste in a clean, safe, and sanitary manner by
placing it in containers equipped with tight-fitting covers.
Noise Control
Section 13.04.10 No person shall recklessly make or cause to be made or continued or participate in any loud or
unusual noise that disturbs the peace and quiet.
Nuisance Party
Section 9.14 A social gathering or party which is conducted on premises within the City and which, by reason of the
conduct of the persons in attendance, and results in any four or more of the following offenses occurring at the site of the
said party or social gathering, or on neighboring public or private property: disorderly conduct; illegal open container;
outdoor urination or defecation in a public place; unlawful sale, furnishing, dispensing or consumption of beer or
intoxicating liquor; sale or furnishing of beer or intoxicating liquor to an underage person; possession or consumption of
beer or intoxicating liquor by an underage person; illegal use of a controlled substance; public indecency; unlawful deposit
of litter or refuse; the damage or destruction of property without the consent of the property owner; unlawful pedestrian or
vehicular traffic; standing or parking of vehicles that obstructs the free flow of traffic on the public streets and sidewalks or
that impedes the ability to render emergency services; unlawfully loud noise; or any other conduct or condition that
threatens injury, inconvenience, or alarm to persons or damage to property which is hereby declared to be an unlawful
public nuisance.
Animal Control
Section 9.01.01 & 9.01.05 No animal shall be permitted to run at large in any street or public ground, or to go upon
or enter any private yard or lot, without consent of the owner of such yard, lot or enclosure. It is unlawful for any person in
charge of any dog to take or allow said dog to go onto public property or in a public place without being on a leash. No
person having charge or control of a dog shall permit such dog to cause physical harm to any person. The person having
charge of any animal shall have in their possession necessary implements to remove any excrement or objectionable
wastes deposited on public or private, and shall remove such excrement immediately. It shall be unlawful for any person
to harbor or keep a dog which by loud and frequent or habitual barking, howling or yelping, shall cause annoyance or
disturbance to the neighborhood.
Owner Confirmation: I hereby affirm that the above Declaration of Compliance and information provided herein is true
and correct and that I have reviewed this form in its entirety with the above occupants. I further affirm that the above
occupants are the only occupants authorized to reside at the rental dwelling unit located at the address of the rental
property identified above and that such occupancy by those persons complies with current Athens City Code regulations.
I further understand and declare that this form and the information contained herein are pursuant to current Athens City
Code regulations. The penalty for failure to have this form shall be a minor misdemeanor.
Date: _______________ Signature :______________________________( owner/agent)
Occupant Confirmation: I hereby affirm that the above Declaration of Compliance and information contained herein are
true and correct and that if this information changes, I will be required to complete a new form. I certify that the persons
listed above are the only tenants or occupants of the property listed above. I further certify that I have read the Notice of
Disclosure to Occupants and reviewed it with the owner/agent of the property. I further understand and declare that this
form and the information contained herein are made pursuant to current Athens City Code regulations. I know that the
penalty for failure to have this form is a minor misdemeanor.
Occupant Signature: ______________________________ Date: _______________
Occupant Signature: ______________________________ Date: _______________
Occupant Signature: ______________________________ Date: _______________
Occupant Signature: ______________________________ Date: _______________
Occupant Signature: ______________________________ Date: _______________
Rev 7/22/06