HomeMy WebLinkAbout47 West Yarmouth Road paper application**INSPECTION OFALL UNITS ARE REOUIRED!**
Please call to schctlule 508-398-2231, ext. 1240
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Annual Registr;rlion is an Orr ncr l{esponsibilitl
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH ll!,.A, 02664
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HEALTH DEPI
AITENTION 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 infened, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER R"ENTAL/
LEASE UNIT. Complete this form and return to the Health Office.
YARMOUTH". For additional FORMS AND/OR QUESTIONS, co
508-398-2231' x1240
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Rental Property Address
Checks ble to: "TOWN OF
nta H OFFICE AT
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Email and phone # 6cr8 z3o 1>-q 2_
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Owner Name6lz-ired Info)
ZIPMailing Add City/Town State
Rental Agent (if any) ,/
Rental Period: Annu/: Seasonal: Short TermY(occrtpattcr lcs
Rental of: House /Duplex-Condo-Apartrnent-Room-
Email and Phone #
s than 3l days)
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be replaced.
Call fire department regarding questions on new type and location prior to purchasing. 508-398-221 2
Trash Removal by: Owner
-
(Once a week minimury)
Paid Pickup v/ Name of CompanY
Tenant Disposal V$:cicker at Landfill _
A'rsn
Note: Please remove trash & recycle bins from road after pick up day'
$80.00 Annual fee: Owner may also register onlihe: https://yarmouth.ma.us
(follow online services icon, then Permits & Licenses).
Rev. l0/1722 Signatwe
(Require)
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter rv8,
rzay be subject to non-criminal citations issued as follows. Each day's violation deemeP-. a separate offense.
I'r Offense $100.00 / 2d Offense $100.00 (and each additional) $200.00. This applier to any OWNER or
Representative.