HomeMy WebLinkAbout625 West Yarmouth Road paper applicationk"rlgQtwfrJc-**INSPECTION OFA
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ARE REOUIRED!**2/Klll fiurt's
Please call to schedule 508-398-2231 , ext. 1240
M()N-FRl, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility,-
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF
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 HoteliMotel, lnn, 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 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
508-398-28r, x1240
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Rental Property Addresst-tsk Pk3Qo ftL€o.n-L V tq c(- Lq b e 1t )'-
Owner Name (Required55 Info)
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Email and Phone #
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ZIP
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Mailing Address City/Town 9.M c-
Renlal Agent (if any) /
Rental Period: Annual t/ Seasonal- Short Term-
Email and
Rentalof: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
Trash Removal by: Owner
(Once a week minimum)
Paid Pickup_ Name of Company
Disposal w/Sticker 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
Signature
(Require)
Tenant
PENAL.ITIES - Late registration of more than 30 DAYS after receip 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.
lst Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Rev.l0l1'lD2
State