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REOUIRED!**
Please 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 TMALTH
1146 ROUTE 28, SOUTH YARMOUITI MA 02664
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sAVE L\,[5
AITENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room s. (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 infened, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 3l of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Office. Checks payable to: "TOW\ OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508--:198-2231, x1240
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HEATTTI DEPT.
Rental Property Address
P.;.v-Go^aAQ-
Owner Name (Required Info)
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Email and Phone #olgo/
Mailing Address City/Town State ZIP
Rental Agent (if any) - Email and Phone #
Rental P"eriod: Annyal : SeasonalYShort 1'erm$
Rental of House / Duplex_Condo_Aparhnent_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.
Calf fire department regarding questions on new t-vpe and location prior to purchasin g. 508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
raay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lst Offense $100.00 / 2'a Offense $100.00 (and each additionat) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: owner
-
Tenant Disposal w/sticker at Landfill
(Once a week minimum.l
Paid Pickup--/ Name of Company e /s Dis S" /r
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online:
(follow online services icon, then Permits & Licenses)
Signature
(Require)
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