HomeMy WebLinkAbout503 Route 20 Unit 24 paper application**INSPECTION OFALL UNI TSARE REOUIRED!**
Please call to schedule 508-398-2231 , ext, l24O
MON-FRl, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HE
1146 ROUTE 28, SOUTI{ YARMOUTH MA 02664
ATTENTION 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. (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 RENTAL/
LEASE UNIT. Comptete this form and return to the Health Office. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
5OE-398-/231,, x1240
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Rental Property Address
Own Name (Required Info)
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Email and Phoneqo
Mailing Address
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ity/Town State ZIP
Rental Agent (if any)
Rental Period: Annual hort Term
Rental of House_Dup lex Apartment_Room_
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Smoke/ CO detectors older than l0 years must be replaced.
Call fire department regarding questions on new t)'pe and location prior to purchasing. 508'398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations ofany part of Chapter 108,
may be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
l.tOffense $100.00 / 2nd Offense $f00.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner _ Tenant_ Disposal w/Sticker at Landfill
-
(Once a week minimum)
PaidPickup__r$ Name of Company ro
Note: Please remove trash & recycle bins from road after pick up
Email and Phone #
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$80.00 Annual fee: Owner may also register
(follow online services icon, then Permits & Li
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V.
Signature
(Require)
Re\.10117122 .\-
online: h
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://yarmouth.ma.us