HomeMy WebLinkAbout9 Cleveland Way paper rental application**INSPECTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231, ext. 1240
MON-FRI, 8:30 AM-,1:30 PM
Annual Registration is an Owner Responsihility
2023 RENIAL/LEASE REGISTRATION
OWN OF YARMOUTH - BOARD OF
910r€ ALAR 5
9 (i46 RourE 28, sourH YARMoUTH MA 02664
. ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
Q l, gffipi"a dwellings) and Short Term Rentals. Excluding HoteliMotel, Inn, Lodging House or Bed and Breakfastt1() operations. (CHAPTER 108 - OCCUPANCYOF 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
JAN 0 5 ?022
HEATTFI OEPT.
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Rental Pro rfy ress
Owner Name (Req Info)
Mailing Address
Y10ng
City/Town State
Email and Phone #
Rental Agent (if any) \ / Email and Phone #
Rental Period: Annual !jseasonal- Short Term-
Rental of House_Duplex_Condo_Apartment Room_
--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 purchasin g. 508-398-2212
PENALITIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
may be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
I't Offense $f 00.00 / 2na Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner
(Once a week minimum)
Paid Pickup_ Name of Company
(follow onlin
Tenant
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
Rev.l0/l'122 p\a\rervlces
tcon , then Permits & Li
Signature
,@* lto (Require)
t
ZIP
Disposal dSticker at Landfill