HomeMy WebLinkAbout63 B Wilfin Road paper applicationAn+.**INSPTC >c:L.- =lzo @ LL'.BD
TION 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 Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEAIJTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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AITENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Tenn Rentals. Excluding Hotel/Motel, Inn, Lodging House or Bed and Breakfast
operations. (CIIAPTER 108 - OCCUPANCY OF BLIILDINGS 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 uMT. Complete this form and return to the Health Office. Checks payable to: 'TOWI\ OF
YARMOUTH'. For additional FORMS AND/OR QUESTIONS, contact the HEAIITH OX'FICE AT
508-398-2231, x1240
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HEATGI DEPT.
Rental Pro
0wn Name (Requ Info
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Email and Phone #
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Mailing Address City/Town State ZIP
Rental Agent (if
Rental Period
Email and Phone #
Seasonal_ Short Term_
Rental of:Condo_Apanment_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 purchasing. 508-398-2212
PENALiTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
rray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lst Offense $100.00 / 2na Offense $1fi).00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner _
(Once a week minimum)
Disposal ilSticker at Landfill _
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: https://yarmouth.ma.us
(follow online services icon, then Permits & Licenses).
Signature
(Require)
Rey.l0l17/22