HomeMy WebLinkAbout16 Sunset Drive paper applicationN eNtft7c_ 5Bl
NAY 0I 2023
HEAITH DEPT,**INSPECTION OF ALL UNITS REOUIRED!**
I'leasc call to schedulc 508-398-2231, cxt. 1240
N{ON t-Rl, 8:30 Al\I.,4:30 PM
Annual Regislration is an Owncr Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEALTH
I 146 ROUTE 28, SOUTH YARMOUTTI MA O26U
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ATTENTION LANDLoRDS of Houses, Apartments, Duplexes, condominiums, Room Rentals. (in ormer
occupied dwellings) and Short Term Rentals. Excluding HoteVMotel, 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 $E0 pER RENTAL/
LEASE UNIT. Complete thls form and return to the Health Olfice. Checks payable to: .TOWIrl OF
YARlvrourH". For rddiflonal FoRlvIs AND/OR QUESTIONS, contrct the HEALTH 0FFICE AT
50&39&2231, x1240
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Rental Property AddressLc,Rr U rCAr\a rta AAl. n,q L Q Flarn n v,cotll Ht14>1'
Owner Name (Required Info)Email and Phone #5to,tb
Malllng Address
{ D. 1.n
Citv/Town
l!D
ZIP
Rental Agent (if eny) Emait and phone #
Rental Period: Annual : Seasonal- Short TermaJ, ,i. r irl):u)cv lcss rhan .l I rllys )RentalotHouselz'Duplex_Condo_Apartment Room_
-Smoke Detectors qnd Carbon Monordde Detectors Requlred-
Ownert: I hrve ensurcd the betterles rre changed, end hrve tested ALL Smoke
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be replaced.
Call fire dcpartrnent regardinS questions on new type and location prior to purchasing. 508-398-22 I 2
PENALTIES - Late registation of more than 30 DAYS after receipt or violations ofany part of Chapter 108,;ay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
l"' offense s100.00 /2"a offense $100.00 (and each additionat) $200.1x1. This applies to any owNER or
Representative.
Trash Removal by: Owner ,"/
(Once r wect minimum)
Paid Pickup{ Name of Company
Tenant_ DisposalilSticker at Landfill _
Lsd-L_+
Note: Please remove trrsh & recycle bins from road after plck up day.
$80.00 Annual fee: Owner may also register online
(follow online services icon, then Permits & Licenses
Signature
(Require)
Rov. l0/l?/22
: https://yarmouth.ma.us
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