HomeMy WebLinkAbout223B Higgins Crowell Road paper application**INSPECTI ON OFALL UNITS ARE REOUIR ED!**
Please call to schedule 508-398-2231, ext. 1240
MON-FRI, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
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2023 RENTAL/LEASE REGISTRATION
WN OF YARMOUTH - BOARD OF HEALTH I)EC 14 2022
HEATTH DEPT.1146 ROUTE 28, SOUTH YARMOUTH MA 02664
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotelllt4otel, 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 31 of each year' FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return fo the Health Office. Checks payable to: "TOWN OF
yARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-39E-223r' x1240
Address i od tl/ar a,t?,4zf .t1,4. OL?) )Rental Property7 >b h t45 0
N"
"*w;me (Required Info)
t L 9ctlotrt e//Phone #
(b,ttrur r ,t et. fd,l>L'itS'l
Email and
neltileag
Mailins Address
Ut] rl*o+tl Url,(-rtt4dl ,4fiCity/Town State ztPo zo1>
Rental Agent (if any)Email and Phone #
Rental Period: Annual - Seasonal- Short Term:
Rentalof:House Duplex-Condo-Apartment-Room-
--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 deparrment regarding questions on new type and location prior to purchasin g. 508-398-2212
Trash Removal by: Owner Tenant Disposal w/Sticker at Landfill
(Once a week minimum)
Paid Pickup- Name of ComPffrY
-
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online hff ps://yarmouth.ma.us
(follow online services icon, then Permits &
Signature
(Require)
C
:
)S
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
rray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
ls Offense $100,00 / 2na Offense $f 00.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Re\.10/17D2