HomeMy WebLinkAbout17 & 19 Hudson Road paper application**INSPECTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231 ,ext. 1240
MON-FRI' 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF TMAITH
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 HoteVMotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW)'
Note: Compliance with Zoning regulations is not infened, nor intended'
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Comptete this form and return to the Health OIIice. Checks payahte to: "TOWN OF
YARMOUTH". For additional FORMSAND/OR QUESTIONS, contact the HEALTH OFFICEAT
508-398-2231' x1240
5rux(E ALARNS:!yELI[5
FEB 0 6 2023
HEALTH DEPT,
0vE@
**'TylT.Tu*"
lr]\ - t["i
lnq
1Ol - rlt{-r8i5
n oo\ Coq
Owner Name @equired Infoh 1u Nvt'7 4< \L-"a \r "-r
Email and Phone #Dfblq!
Mailing Address City/Town State ZIP
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 Detectors?
Smoke/ CO detectors older than 10 years must be replaced.
Call fire department regarding questions on new type and location prior to purchasing. 508'398-2212
Trash Removal by:Tenant Disposal dSticker at Landfill _
(Once a week minim
s than 3l days)
Paid Pickup Name of Company qca\.^- \)^r^-L
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online
(follow online services icon, then Permits & Lic
Signature
(Require)
:
)
PENALTIES - Late registration of more than 30 DAYS after receipt or violations ofany part of Chapter 108,
rzay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
l$ Offense $100,00 i 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative .
d"'['%tu rwtt
S
https://yarmouth.ma.us
Short Term-
/'1(O