HomeMy WebLinkAbout44 Baxter Ave paper application**INSPECTION QF ALL 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 Responsihility
2023 RENTAL/LEASE REGISTRATION
o r,r't towN oF yARMourH -BoARD oF HEALTH
I146 ROUTE 28, SOUTH YARMOUTH MA 02664
.,10(E ALARN 5\w*--f I rEsr
P
t",1,It 1\oo
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 3l of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health OIIice. Checks payable to: "TOWN OF
YARMOUTH'. For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
50ii-s98-22-r i, xr 2au
Ren Prop Address
er Name uired
4,2
()and Phone #
ZIPMailing Address City/Town State
Rental Agent (if any)
Rental Period: Annual
Email and Phone #
Seasonal_ Short Term-
Rental of: House p ex ondo_Apartm ent Room
--Smo rs 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
Trash Removal by:Tenant Disposal dSticker at Landfrll _
(Once a week minim
Paid Pickup Name of Company
Note: Please remove trash & recycle bins m road after pick up day.
$80.00 Annual fee:er may also register online h
then Permits & Licen
Signature
(Require)
PENALTIES - 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.
l.t Offense $100.00 / 2"d Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Re\.l0ll'7D2
ces lco
armouth.ma.us
1