HomeMy WebLinkAbout23 Sioux Road paper application**INSPECTION OF ALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231, ext. 1240
MON-FRI, 8:30 AM-4:30 pM
Annual Registration is an On ner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ I]OARD OF IIEAUT-H
1146 ROUTE 28, SOUTH YAIWOUIII MA 02664
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AITENTION LANDLORDS of Houses,
occupied dwellings) and Short Term Rentals
Apartnents, Duplexes, Condominiums, Room Rentals. (in owner
. Excluding HoteVMotcl, Inn, Lo.lging House or Bed and Breakfast
operations. (CIIAPTER 108 - OCCUPANCY OF BUTLDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAT-,/LEASE Reglstmtions E)GIRE on DECEMBER 3r of each year. FEE Is $s0 pER RENrAr./
LEASE IINIT. Complete this form and return to the Ilealth Oltrce. Checks payable to: .TOWN OFYARlrourH", For additional FORMS AND/OR euEsrIoNS, contact the trEALtrH oF[,IcE AT
50&39&2231, r1240
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Rental P
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Address
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Owner Neme @equtred Info)Email and Phone #s
Mf,iling Address City/Town
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State ZIP
Renral Agent (if any)Email and #
Rental Period: Annual : s".rooofhort Terrn-(occupancy less than 3 I da
Rental ofi House_ylDuplex Condo-Aparttrent Room
-Smoke Detectors and Carbon Monodde Detectors Requlred-
Owners: I hsve ensured the batteries are chenged, and have tested ALL S
Detectors/Carbon Monoride Detectors?
Smoke/ CO detectors older than l0 years mwt be rcplsced.call fire departnent regarding questions on new type and location prior to purchasing. 50g-39g-2212
Trash Removal by: Owner _(Ouce a *rek ninimqp)
Paid Pickup_g: Name of Company
Tenant Disposal WSticker at Landfill
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Noter Plesse remove trrsh & recycle blnr from road lfter pick up day.
$80.00 Annual fee: Owner msy also register online:
(follow online services icon, then Permits & Licenses).
Signature
(Require)
https ://yarmouth.ma.us
APR 04 202j
EATIH DEPT
PENALTTES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
rzay be subject to non-crimioal citations issued as follows. Each day's violation deemed a separate offerse.lr offense $100.00 / 2aa offense $100.00 (and each additional) $200.00. This applies to any owNER or
Representative.
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