HomeMy WebLinkAbout17 Pierce Street paper applicationa *INSPECTION OFALL UNITS ARE REOUIRED!**I Please call to schedule 508-398-2231 , ext. 1240
MON-FRI, 8:30 AM-d:30 PM
Annual Registration is an Ou ner Responsibility
2023 RENIAL/LEASE REGISTRATION
OWN OF YARMOUTH - BOARD OF
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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t TION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, Inn, Lodging House or Bed and Breakfast
operations. (CIIAPTER I 08 - 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. Complete this form and return to the Health Ofiice. Checks payable to: "TOW1\[ OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the IIEALTH OFFICE AT
50E-398-2231, x1240
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Rental Pro
Ben
Address
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Owner Name (Required Info)Email and Phone #
Mailing Address
I(o 0t(J.(z-5i Citv/Town
'hx!*.{oz>etfuw M/+State ZIP o}l--14
Rental Agent (if any) n Email and Phone #
Rental Period: Annual - Seasonalt( Short Term-
Rental of: House Duplex-Condo-apartment-Room!
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Detectors/Carbon Monoxide Detectors? H:r' . i.
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
TrashRemovalby:Owner r/ Tenant_ DisposaldStickeratLandfill_
(Once a week minimugt)
Paid Pickup__",] Name of Company Ae*{ fu$r'
Note: Please remove trash & recycle bins from roak aftlr pick up day.
$80.00 Annual fee: Owner may also register online:
(follow online services icon, then Permits & Licenses).
Signature
(Require)
PENAITIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nr4y be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lst Offense $100.00 / 2"d Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
R.\.10/17/22
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