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.l)lease call to schedulc 508-398-2231, ext. 1240
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Annual Registration is an Ol ner Rcsponsihilitr
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, Inn, Lodging House or Bed and Breakfast' operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENIAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Ofrice. Checks payabte to: "TOWI\ OF
YARMOUTH". For additional F'ORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, xl240-l \ Lu r.-.^6G-RTNe-k- -rRArL
Renta! Property Address-5 O\..... C- n\ o.
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Tenant
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Email and Phone #
.r
er Name
t-o
Mailin Address
(Required Info)
Fou crLq cr S{\evw o\104
ZIP
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Rent gen
Rental Perio
Rental of: H
PENALTIES - Late registmtion 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.
l( Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
C /Town state .t
Trash Removal by: Owner_
(Once a week minimum)
Paid Pickupll_ Name of Company
Disposal dSticker at Landfill
Naopf
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 & Licenses).
Signature
(Require)
Rev. l0/1722 CJ*o [iol,'nz
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Email and Phone #
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