HomeMy WebLinkAbout248 Camp Street Unit T6 paper applicationl'""wLajtlqry a$( vtuQ*b
*INSPECTION OFALLUI'{ITS ARE RNOUlll.ED!**
Please call to schcdulc 508-398-2231, ext. 1240
I,ION-FRI, 8:30 AJ}{-4:30 pM
Annual &egistration is an Owner Respnxsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTTI MA 02664
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AITENTION LANDLORDS of Houses, Apartnents, Duptexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Shon Term Rentals. Excluding HoteyMotel, Tnn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCU'PANCY OF BUILDINGS BYLAW).
Note: Complianca witi Zoning regulations is not inferred, nor intended.
RENTAL/LEA'SE Rcglrtratlonc EXPIRE on DECEMBER 3l of each year: FEtr IS $80 PER RENTAL/
LEASE lrMT. Complete thls form and return to the Eealth Olffce. Checks payrble to: ..TOWhl OF
YARMOUTH'. For addltlonal FoRMs AND/0R QUESTTONS, cotrtrct rhe ffiALTH OFFICE AT
50&39&2231, x1240
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ReDt I Property Address
OwnerNrme (Requlred Info
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Email and Phone #0 0 {
Maillng Addrcss Clty/Iown State
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Rental Agcnt (lf eny)
RentalPeriod: Annual k S"asorrat Short Term:(occupancy l"r., ,h:rTil
tenant (Disposal wiSticker at Landfill
also register online: https:/lyarmouth.ma.us
Rentalof: House_Duplex_Condo)lApartment Room_
-Smoke Detectors rnd Carbon Monodde Detectors Requ
Owners: I have ensured the brtteries are chenged, rnd heve tested
Detectors/Carbon Monoride Detedors?
Smoke/ CO detectors older thar l0 years must be replaced.cali fue deparrnent regarding questions on new typo and location pricr to purchasing. 50g-39g-2212
Trash Removal by: Owner _(Oncc a wcek minimum)
Paid Pickup_ Name of Company
Note: Please remove trrsh & recycle biar from roed efter pick up day,
$80.00 Annual fee:Owner may
(follow online services icon, then Permits & Licenses
Signature
@eqdrc)
FEB 2 3 2023
rHo EP'il
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PENALTIES - klo registration of more than 30 DAYS afler receipt or violations of any part of Chapter l0B,a4y be subject !o non-cdminal citations issued as follows. Eech day's violation deerned a separate offense.l't Offense $Ifi).fi) / 2* Offense Slfi).fi) (and each additional) $200.00. This applies to any OWNER or
Reprcsetrtative.
R.t.l0/17122
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