HomeMy WebLinkAbout223A Higgins Crowell Road paper application**INSPBCTION OFALL UNITS ARE REoUIRED!**
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Annual Rcgistration is an Ou ner Rcsponsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEAUT
I146 ROUTE 28, SOUTH YARMOUTH MA 02664
TION LANDLORDS of Houses, Apartments, Duplexes, Condominiums,
occupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, Inn, Lodging House or Bed and
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. Complete this form and return to the Health Office. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contacr rhe HEALTH OFFICE AT
5U8-398-223t, x1240
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Rental Property,Address
NEi L Sc d 0<tte r /t c t I e t /i/t @ co4ttari 4ct 500->tO t 8SZ
Owner Name (Required Info)Email and Phone #
Mailing Address4+own State ZIP
LUesi '/rl 444 ozc>3
Rental Agent (if any)Email and Phone #
Rental Period: Annual
Rental of: House Dupl
-Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Detectors/Carbon Monoxide Detectorr?
Smoke/ CO detectors older than l0 years must be replaced.
Cafl fire department regarding questions on new type and location prior to purchasing. 508-398-2212
Trash Removal by: Owner Tenant Disposal w/Sticker at Landfill
(Once a week minimum)
Paid Pickup_ Name of Company
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online: https://yarmouth.ma.us
(follow online services icon,then Perm
S
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 10b,,
may be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lst Offense $100.00 / 2,0 Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Re\ tO/t1D|
(Require)
Short Term-1ocr
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SCHO EN ER N EIL S
44 TRADERS LN
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WESiVARMOUTH, MAO2573
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YARMOUTH HEALTH DEPARTM ENT
1146 Route 28
South Yarmouth, MA 02664
RENTAL . 223A HIGGINS CROWELL RD