HomeMy WebLinkAbout40 Lorena Road paper application**INSPE CTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231 , ext. l24O
MON-FRI. 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF TIEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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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
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 LI
LEASE UNIT. Comptete this form and return to the Heatth Office. Checks payable to: "TOWII Otr'
YARMOUTH". For additional FORMS AI\D/OR QUESTIONS' contact the IfEAIiTH OFFICE AT
508-398-2231, x1240
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HEALTH DEPI
Rental Pro perty ress
Owner N (Required Info)
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Mailins Addresszt l.4addoxDr.CH ztP3D?a
Rental Agent (if any)
Rental Period: Annual - Seasonal- Short Term]/
Rentaloft Hort"y'Orp-t"x-Condo-Apartm-nt-Room-
--Smoke Detectors and Carbon Monoxide Detectors
Email and Phone #
s than 3l dirl-s)
Requirea- /
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than 10 years must be replaced
Call fire department regarding questions on new type and localion prior to purchasin g. 508-398-2212
pENALTIES - Lare registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
raay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1v Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner
-
(Once a week minimum)
iaid Pickup v/ Name of Company
Note: Ptease remove trash & recycle bins from road after pick up ay.
$80.00 Annual fee: Owner may also register online
(follow online services icon, then Permits & Licenses
Signature
(Require)
Tenant Disposal dSticker at Landfill
-
Rev. l0/17122
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