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**INSPECTION O F ALLU RED!**
Please call to schedule 508-398-2231, cxt. 1240
MON-FRl, 8:30 Ai!I-4:30 Plvl
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEALIH
I 146 ROUTE 28, SOUTH YARMOUTH MA 02664
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AITENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Renals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteUMotel, Inn, Lodging House or Bed and Breakfast
op€rations. (CHAPTER 108 - OCCT PANCY OF BLJILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAI-/LEASE Reglstratlons EXPIRE on DECEMBER 31 of each year. FEE IS $E0 PER RENIAL/
LEASE UMT. Complete thls form and return to the lleelth Office. Checks peyeble to: "TO\MN OF
YARMOUTH". For addltlonal FORMS AND/OR QUESTIONS, cotrtact the IfEALTH OFFICE AT
50&39&2231, 11240
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Rental Property Address
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Owner Name (Requlred Into) I:b7-., \ vtr",'. \hr\ 1'payr3rr,t\\1 N
M Cify/Iown State ZIP
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1i)1Rentel Agent (if any
Rental
Rental
)Email and Phone #
Period: Annual : Seasonal:
of: Housey' Duplex_Condo
Short Termfloccupancy less than 3 I d
Apartmetr Room -:rr;:?:"
-Smoke Detectors and Crrbon Monoxlde Detectors Requlred-
Owners: I hsve ensured the betteries are chenged, end have tested ALL
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be replaced.
Call fre department regarding questions on new t1pe and location prior to purchasing.508-398-2212
Trash Removal by: Owner Tenant Disposal WSticker at Landfill
(Once a week minimum)
Paid Pickup - Name of Company
Note: Plerse remove trash & recycle bins from road after kup day.
Signature
(Require)
!
$80.00 Annual fee: owner may also register online: https://yarmouth.ma.us
(follow online services icon, then Permits & Licenses). .,..
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PENALTIf,S - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
roy be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
l"t Offense $1fi).00 / 2na Offense $llD.00 (and each additional) $2fl).00. This applies to any OWNER or
Reprcsentative.
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v Email and Phone #o&b?)_
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