HomeMy WebLinkAbout1 Hoover Road paper application**INSPECTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231, ext. 1240
MON-FRI, 8:30 Ai\'I-4:30 I'l\'l
Annual Registration is an Orvner Responsibilil),
2023 RENTALiLEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEALTH
1146 ROUTE 28, SOUTHYARMOUTH MA 02664
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ATTENTION LANDLORDS of Houses, Apartnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Tenn Rentals. Excluding Hotel,tlVlotel, Inn, Lodging House or Bed and Breakfast
operations. (CI{APTER 108 - OCCIJPANCY OF BIJILDINGS 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 uMT. Complete this form and return to the Health Office. Checks payable to: "TOWN OF
YARMOUTH'. For additional FORMS AND/OR QTIESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
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Rental ProDertv Address--'r';'{;i;," €. C{o-*o^ Tr.^st C.}r-a tto crco'rE{aqa'lr.o "1C 1., rn
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Owner Name (Required Info)
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Email and Phone #
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Trash Removal by: Owner _
(Once a week minimum)
Paid Pickupl4l Name of Company
Tenat- vl- Disposal ilsticker at Landfill
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ZIPState
Signature
(Require)
Rental Agent (ifany) / Email and Phone I
Rental Period: Annual t/ Seasonal: Short Tenn:( occr.rpancy less tharr 3l days)- q
Rentalof:ffouse-ylOofrex-Condo-Apartrnent-Room- iU'rr,.-%n
-.Smoke Detectors and Carbon Monoxide Detectors Requlred- ?, -"'- t
Owners: I have ensured the batteries are changed, and have tested Al.l,Surfu^//'.j
Detectors/Carbon Monoxide Detectors? v/ $4
Smok€/ CO detectors older than l0 years must be replaced.
Call fire department regarding questions on new ry?e and location prior to purchasing. 508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
rray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
ls Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Note: Please remove trash & recycle bins from road after pick up day,
$80.00 Annual fee: Owner may also register online: https://yarmouth.ma.us
(follow online services icon, then Permits & Li
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Mailing Address.-- , City/Tow4{L\a< U N\o"rHp*
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