HomeMy WebLinkAbout25 and 27 Television Rental ApplicationN1-
Rental Propcrty Address
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ATTENTION LANDLORDS ofHouses, Aparir,ents, Duprexes, condonriniums, Room Rentars. (rn owneroccupied dwellings) and Shon Tenn Renrals. Excluding I{oielrMoiel, Inn, Lodging House or Bed and Breakfastoperarions. (CItApTER 108 _. OCCUPANCy Or SUlLOtNbigyLaW).
ote: compriance with zoning regurations is not inferred, nor intended.RENTAL/LEASE Rcgistrations EXPIRE on urceMson sl ofeach ycar. FuE IS $80 pER RENTAL/Lf,'{sE UNIT. comprete this form and return to the Health office. chccks payabre to:.TowN oFYARMOUI'H". !'or additionar FoRIvrs AND/OR QUES.TIONS, contact rhc HI,rAr,l.H ol-r.rcE A.I.
2023 RENTAL/LIiASE REGIS'TRATION
TOWN OF YARMOLJTH _ BOARD OF HEALTH
I I46 ROUTI 28, SOUTIJ YARM OU"TH MA 02664
508-:l!r8-221l. xt 240
Owncr Name (Requircd ln
ailing Address
I'.mail and Phonc /t
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Ilrnail and P one #
Disposal w/Sticker at Landfill
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rom road aftcr pick up day.
0 nqs q &{City/n
C'---Rcntal gent (if an1)
Rental Period: Annual _ Scasona tv/Snort'fr:rm:
Rental of: l{ousc Dupicx FC'r-ondo_Apartnrcnt Roorlt
Trash Removal by: Owner Tenant
-Smokc Detectors and Carbon lllonoxide Detectors Required_Owners: I havc ensured the batterics arc changed, and have tested,,\,LL Smok€Dctectors/Carbon Monoxidc Detectors?Smokc,,CO derectors oldcr than l0 ycars must be replaced.call firc dcpanurenr rega.ding quesrions on nerr rype and rocarion prior ri purchasrng. 508-J9ii-22r2
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Pard Pickup 1a Name of Conrpany
Note: Please remove trash & recyclc bins f
$80.00 Annual fee: Owner may also register o(follow online services icon, then permitl &, lic
nline: https://yarmouth.ma.us
S.ignatul'e
PENAI,'IIES - I-are registrario
zay be subjcct to non-criminal
ls' Offense $100.00 / 2na Offens
Reprcscntativc.
n of rnore than 30 DAyS after receipt or violations of any part of Chapter I0g,citations issued as lbllorvs. Each day's violation deemeja."pu.uta offan.".c $100.00 (and each additional) g200,00. This applies ro any OWNER or
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