HomeMy WebLinkAbout11 Doherty Lane Rental Application7-Ab( -h"
2023 RENTAL/LIiASE RBGIS'IRATION
TOWN OF YARMOLJTH _ BOARN Or rrEAI-rU
I I46 ROUTE 28, SOIJTII YARM OU'IH MA 02664
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AT,ENTION LANDLORDS or' Houses, Aparrments, Duprexes, condonriniums, Room Rentars. (in owneroccupied dwerrings) and Short Ternr Renrais. Lxcruding HolrrNa;,"r, Inn, Lodgi,g fiouse or Bed and Breakfasroperarions. (cHAprER ros -. occ.peNcy or gult_orN-cs ev,-awi.
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Note: compriance with Zoning rcgurations is not inferred, nor intended.RENTAL/LEASE Rcgistrarions ExpIRE on ulcu,vrrn it of eactr ycar. FIif, IS $80 pER RENTAL/LEASf, UNIT. Complete this form and return ," ,r," n*r,i oflice. Chccks paysbre to: .TowN oFYAIUy.,g'p11'. For additionar
'oRMs ANDioR qu"siibxs, .nntscr thc Ht Ar,r.H .!.FICE AT508-198-2231, x 1240
Rental Prope rty Ad ress
ncr Name (qu I nfo)
Mailing Add Citly''Iolv n Stat{r
Rcntal Agcnt if anv)
Rental Period: Annual _ SeasonalfuXhortl',:rm:
Rental of: Uousep Duplex__Condo_Apartmcnt Room
Trash Rcmoval by: Owner Tenant
_Smoke Detectors and Cartrcrn illonoxide Detcctors Requircd_Owners: I havc ensured the batterics arc changed, and haYe tested,{LL SmokeDctcctors/Carbon Monoxidc Dctectors?Smokc/ CO dercctors oldcr than l0 ycars musl be rcplacecl(lall fi rc depanmenr regar.ding q uestion s on ne$, rype a nj locrtlou p.io, il, pu."t,osr ng. 50li_-l9li-22 I 2
Flmail and Phonc #rl a 08 1ns 0985
ZIP
Email and Phonc t
Disposal dSticker ar Landfill
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{0ncc a wcck rninimum)
Paid Pickup / Name of Conrpany
Note: Please remove trash &recycle bins li'om road nftcr pick up day,
$80.00 Annual fee: Owner may also register ontin
(follow online services icon, then Permits & l_icense
Slgnatule
(Require)
PENAI']'IES - l-ate registration oftnorc than 30 DA)'s afier receipt or violarions ofany pan ofchapter l0ti,rzoy be subject to non-criminal citations issued as tbllorvs. Each day's violation deenr.j u ."pu.u," off"nr".lst ofrense $100.00 / 2"a offense $t00.00 (and cach addirionar) $200.00. This appries to any owNER orRcprcscntalivc.
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e: hffps://yarmouth.ma.us
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