HomeMy WebLinkAbout29 College Ave paper application**INSPECTION OFALL UN ITS ARE REO UIRED!**
Please eall to schedule 508-398-2231 , ext. 1240
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, SOUTHYARMOUTH MA 02664
AITENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, R
f,1O€ ALARNS-w*--Y { rrsrl
2022
oom
HEALTH NEPI
Bed and Breakfastoccupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, Inn, Lodging House or
operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAL/LEASE Registrations EXPIRf, on DECEMBER 3l of each yean FEE IS $80 PER RENTAL/
LEASE UNIT. Comptete this form and return to the Health Ofrice. Checks payable to: (TOWN OF
YARMOUTH". For additional FORMS A-|[D/OR QT ESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
Zn €-lle-bc sf 41PLl \co
Rental Property Address
5 Lrer4 tvV l,o L-ou
er Name uired I
ca
Own
Mailing Address
OYJ{L /rr/o
Cify/Town State ZIP
Rental Period: Annual _ Seq;onal_ Shorr Term_
Rental of: House_Duplex2l Condo_Apartment Room_
Rental Agent any)Email and Phone #
--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 purchasin g. 508-398-zzl2
Trash Removal by: Owner _
(Once a week minimum)
Paid Pickup_ Name of Company
Disposal dSticker at LandfillTenant
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online:
(follow online services icon, then Permits & Licenses).
Signature
(Require)
https ://yarmouth.ma.us
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
zcy be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1st Offense $f 00.00 / 2od Offense $f 00.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Re\.l0ll1D2
(ln owner
I
,VA
Email and Phone #
ct 2-t-,rt /