HomeMy WebLinkAbout21 misty lane registrationNa K %'he{,.n(a**INSPECT OFALL UNITSARE REQU ,dil.?,,z=
Please call to schedule 508-398-2231 , ext. 1240
MON-FRl, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENIAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEATTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
910(E AL RnS
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ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Sho( Term Rentals. Excluding HoteliMotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 OCCUPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Office. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE, AT
508-398-2231, x1240
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RSptal Property Add
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Owner Name (Required Info)Email and Phone #
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Mailing Address
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City/Town
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State ZIP
Rental Agent (if any)Email and P
Rental Period:Short Term_
Rental of: Hou ondo Apartment Room
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Sm
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be replaced.
Call fire department regarding questions on new type and location prior to purchasin g. 508-398-221
Trash Removal by: Owner {
(Once a week minimum)
Paid Pickup_ Name of Company
Note: Please remove trash & recycle bins from road after pick up day.
(follow online services icon,then Permits & Licen
Signature
(Require)
Tenant
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
raay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lst Offense $100.00 / 2d Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Rev 10/17/22
-€AS
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Disposal w/Sticker at Landfill (
$80.00 Annual fee: Owner may also register online: https://yarmouth.ma.us
YARMOUTH HEALTH DEPARTMENT
1146 Route 28
South Yarmouth, MA 02664