HomeMy WebLinkAbout63 A Wilfin Road paper applicationTvf s-U* 31- @ rr,eo**IN PECTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231 , ext. 1240
MON-FRl, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibili(v
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HE
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
AITENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums,
occupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 -OCCUPANCYOF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not infened, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RXNTAL/
LEASE [JIIIT. Complete this form and return to the Health Ofiice. Checks payable to: "TOWN Otr'
YARMOUTH'. For additional FORMS AI\[D/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
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Address
Owner Name (Required Info)It8 TRAo€cs Larte , Naf v Email and Phone #
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Mailing Address City/Town State ZIP
Rental Agent (if a' .- Rental Period:
Rental of: Ho
Email and Phone #
Seasonal_ Short Term_
Condo_Apartment Room_
--Smoke Detectors and Carbon Monoxide Detectors Required-
Ownerr: 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 departrnent regarding questions on new qrpe and location prior to purchasing. 508-398-2212
Trash Removal by: Owner
(Once a week minimum)
Paid Pickup_ Name of Company
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 permiti & Licenses
Signature
(Require)
Re\.l1/1'l/2)
: https://yarmouth.ma.us
PENAI"ITIES - 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.
lst Offense $100.00 / 2'a Offense $100.00 (and each additional) $200,ffi. This applies to any OWNER or
Representative.
Disposal dSticker at Landfill