HomeMy WebLinkAbout20 Robin Road paper application**INSPg.TION OFALL UNITS ARE-6QA-rW b[zto P tz'.gcqt'tREouIkEl)!**
Please call to schedule 508-398-2231 ,ext. l24O
MON-FRI, 8:3() AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENIAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF TIEALTH
I 146 ROUTE 28, SOUTH YARMOUTH MA 02664
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ATTENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, 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 $80 PER REI{TAU
LEASE IINIT. Complete this form and return to the IIeaIth Office. Checks payable to: *TO\Ull OF
YARMOUTH'. For additional FORMS AND/OR QITESTIONS, contact the HEALTH OFFICE AT
508-398-2231, xI240
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Email and Phone #
ZIP
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Rental Property Address
Owner Name (Required fo)
Mailing Address
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Rental Agent (if any) -/ Email and Phone #
Rental Period: Annual' .Seasonai Short Term t / .aR;;i;i.H;,'"{ouni"* c;":ao- Ap"";t;4fi.oom- REcEIyED
ohtltnroep,-Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Sm
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be replaced.
Call fire department regarding questions on new type and location prior to purchasing. 508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
l$ Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner Y Tenant Disposal dSticker at Landfill _
Once a week minimum
Paid Pickup Name of Company
remove trash & recycle bins from road after pick up
$80.00 Annual fee: Owner may also register online
follow online services icon, then Permits & Licenses
Signature
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https ://yarmouth.ma.us
Note: Please