HomeMy WebLinkAbout3 Tanglewood Rental ApplicationN/&J CtrwL (LDL Xr-tXI I
**INSPECTION O FALL UNITS RE IRED!**ort-3(.
Please call to schedule 508-398-2231, ext. 1240
MON -FRl, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HE
I146 ROUTE 28, SOUTH YARMOUTH MA 02664
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ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, lnn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCYOF BUILDINGS BYLAW)'
Note:CompliancewithZoningregulationsisnotinferred,norintended'
RENTAL/LEASE Registrations EXPIRE on DECEMBER 3l of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health office. checks payabte to: "TOWN OF
YARMOUTH". FOr AdditiONAI FORMS AND/OR QUESTIONS, CONtACI thE HEALTH OFFICE AT
508-398-2231' x1240
Rental PropertY Address
|"1^R 0I 2023
HEATIH DEPT.
Email and Phone #Owner Name (Required Info)
Mailing Address City/Town State ZIP
Rental Agent (if anY)
Rental Period: Annual : Seasonal- Short Term-!Z'
Rental of: House/Ouplex-Condo-Apartment-Room-
Email and Phone #
--Smoke Detectors and Carbon Monoxide Detectors Required-
owners: I have ensured the batteries are changed, and have tested ALL Smoke
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 purchasing. 508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations ofany part of Chapter 108,
zray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense'
lst Offense $100.00 / 2"d Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative. t
Trash Removal by: Owner
-
(Once a week minimum)
Paid Pickup_yf Name of Company
Tenant Disposal dSticker at Landfill
-
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online:
(follow online services icon, then Permits & Licenses)
Signature
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Rev.l0ll7D2
https ://yarmouth.ma.us
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YARMOUTH H EALTH DEPARTM ENT
1146 Route 28
South Yarmouth, MA 02664
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6 DEC 2(,22 PM 3 L
SEAWARD KENDRA A & JOHN W TRs
233 QUASSETT ROAD
POMFRET CENTER, CTO6259
RENTAL.3TANGLEWOODDR
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