HomeMy WebLinkAbout42 Baxter Ave paper application**INSPE CTION OF ALL UNITS ARE REOUIRED!**
Please call to schedule 50E-39E-2231 , ext. 1240
MON-FRl' 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
023 RENTAL/LEASE REGISTRATION
FilTO OF YARMOUTH - BOARD OF HEALTH
46 ROUTE 28, SOUTH YARMOUTH MA 02664
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ATTENTION LANDLO of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occ upied dwellin Term Rentals. Excluding HoteyMotel, Inn, Lodging House or Bed and Breakfast
(CHAPTER 108 _ OCCUPANCY OF BUILDINGS BYLAW)'operations.
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. Complete this form and return to the HeaIth Office. Checks payable to: "TOWll OF
YARMOUTH". For additional FORMS AI\D/OR QUESTIO
-
508-398-223i,x1240
NS, contact the HEALTH OFFICE AT
Rental Address
and Phone #Owner Name uired
S
nfo)*cza
City/Town State ZlP
Rental Agent (ifany) r I
Rental Period: Amual^Seasonal- Shorr Term-
Rentalof :House-D6-ple*dconao-Apartment-Room-
--Smoke I)etectors and Carbon Monoxide Detectors
Email and Phone #
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 purchasin g. 508-398-2212
Trash Removal by: Owner Tenant Disposal dSticker at Landfill _
Name of Company
trash & recycle bins from road after pick up day.
er may also register online: h ://yarmouth.ma.us
es icon, then Permits & Lic
Signature
(Require)
).
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1't Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative
$80.00 Annual fee:
Rev. 10/17 D2
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Mailing Address
I
Paid
Note: