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**INSPECTION O FALL U NITSARE REo UIR
Please call to schedule 508-398-2231 , ext. 1240
MON-FRI' 8:30 AM-;l:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEAIJIH
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 HoteUMotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 3l of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health OIIice. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
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Email and Phone #
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Owner Na e (Required Info)
Mailing Address CitylTown State ZIP
Rental Agent (if any) Email and Phone #
Rental Period: Annual -
Seasonal-r Short Term-
Rental of: House t 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 purchasing. 508-398-2212
Trash Removal by: Owner _
(Once a week minimum)
Paid Pickup_ Name of Company
Tenant Disposal dSticker at Landfill _
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).
Signatwe
(Requirc)
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate oflense.
l Offense $100.00 / 2nd Offense 5100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
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