HomeMy WebLinkAbout28 Wampanoag Road paper application%lDAvLAac**INSPECTION OF ALL UNITSA D!**
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ATTENTION I-ANDLORDS of Houses, Apartments, 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:CompliancewithZoningregulationsisnotinfened,norintended.
RENTALiLEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS S80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health office. checks payable to: "TOWII oF
YARMOUTH". FOr AdditiONAI FORMS AND/OR QUESTIONS' CONIACI thE HEALTH OFFICE' AT
508-398-223r' x1240
Please call to schedule 508-398-2231 ,ext. 1240
MON-FRl' 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF }IEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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Rental Property Address
5
508 arr 565\s\i^ 5,a \d
Owner Name (Required Info)EmailandPhone# jushud @ holnr.lr'*
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Mailing Address City/Town
(Once a week minimum)
Paid Pickup X Name of ComPanY
6Ab
State
u.D;otA
ZIP
Email and Pho #Rental Agent (if anY)
nentat pirioa: Arurual : Seasonal{ Short Term-(occupatrcy les
Rental of: House Duplex--rliCondo-Apartnent-Room-
--Smoke Detectors and Carbon Monoxide Detectors Req
Owners: I have ensured the batteries are changed, and have tested AL
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 purchas
PENARIES - Late registration of more than 30 DAYS after receipt or violations of any part of chapter 108'
may be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense'
1,tOffense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: owner _ Tenant_ Disposal dsticker at Landfill _--
s than 3l days
ing. 508-398-2212
Note: Please remove trash & recycle bins from road after pick up day'
$80.00 Annual fee: Owner may also register online: https:
(follow online services icon, then Permits & Licens
Signature
(Require)Rev.l0ll7l22
ES
rmouth.ma.us
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