HomeMy WebLinkAbout407 Summer Street paper applicationPlease call to schedule 508-398-2231 , ext. 1240
MON-FRI, 8;30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF IIEALTI{
1146 ROUTE 28, SOUTHYARMOUTI{ MA 02664
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ATTENTION LANDLORDS of Houses, Aparftnents, 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.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 3l of each year. FEE IS S80 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
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Rental Property Address
4o1 su-,tt,ttu' 9+a)n;p)e^-r^a4@ 4/^oLil , ^,,-.^.-LLI..
er Name (Required Info)E;;la"m0wn
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Mailing Add City/Town State ZIP
RentalA (if any)Email and Phone #
Rental P Short Term_
Rental o _Apartm ent Room
-Smoke Detectorr and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries art 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. 50E-398-2212
PENAITIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
rzay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
I't Offense $100.00 / 2d Offense $100.00 (and each additional) $21X).ffi. This applies to any OWNER or
Representative.
ess than 3l days)
s
Tenant Disposal w/Sticker at Landfill _
A.*t^-s 0,
Note: Please remove trash & recycle bins from road after pick up
$80.00 Annual fee: Owner may also register onlin /yarmouth.ma.us
Trash Removal by: Owner X
(Once a week minimum)
PaidPickup--[_ Name of Company
(follow online services icon, then Permits & Licens
Signature
(Require)
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NtO-O^rYle{Z-**INSPECTION OFALL UNITS ARE REOUIRED!**
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