HomeMy WebLinkAbout31 Pond Street Unit A paper applicationION OFALL U NITSARE RE
?t@Aule k,k?,R-zarv,
Ptease call to schedule 508-39&2231 , ext. 1240
MON -FRI' 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibili(v
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
f,fiE ALAIAs
".Q;,ro-lQ ,"t
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HotelMotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Comptete this form and return to the Health Oflice. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231' x1240
3tA
Rental Property Address
(co A
lsqbelto.Mor in o i 2z7mo';n oo$f icia,l@9rrloit. covl 50E-2{6'6q5n
Owner Name (Required Info)
Po Box t\r\ Sa.rth YOrrOO,.l h M^
Email and Phone #
et2.\o b+
Mailing Address Citv/Town State
Rental Agent (if any) Email and Phone #
Rental Period: Annual - Seasonal- Short Termi Ql-
Rental of: House 'z Duplex-Condo-apartmort-Room- -=Qgr.^
cott':9 t --smoke o"t".to., "o*r.ooo wtoo*ia" n","* Required-p^
-'YQO
Owners: I have ensured the batteries are changed, and have tested ALL 3Y6fg
Detectors/Carbon Monoxide Detectors? ''Oeo-
Smoke/ CO detectors older than l0 years must be replaced. ' C
Call fire department regarding questions on new type and location prior to purchasin g. 508-398-2212
Trash Removal by: Owner y' Tenant_ Disposal dSticker at Landfill _(Once a week minimum)
Paid Pickup_.7_ Name of Company
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register onlin
(follow online services icon, then Permits & Lic
Signature
(Require)
BrDthets 'S Dis osq )
PENAXTIES - 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 oflense.
1st Offense $f 00.00 / 2,0 Offense $100,00 (and each additional) $200.00. This applies to any OWNER or
Representative.
ttp
)
Rev.l0ll7D2
armouth.ma.us
f@ **I
ZIP