HomeMy WebLinkAbout844 Route 28 Unit 8D paper application$trD**INSPECTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231 ,ext, l24O
MON-FRl' 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEALT
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room ln owner
occupied dwellings) and Short Term Rentals. Excluding Hotel,Motel, 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 3l of each year. FEE IS S80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Oflice. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231' x1240
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HEATN DEFI
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Rental Property Address
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Owner Name (Required Info)
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Email and Phone #
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Mailing Address City/Town State ZIP
Rental Agent (if any) mail and Phone #
Rental Period: Annual X Seasonal Short Term
Rental of: House Duplex_CondoliApartment_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 departmenl regarding questions on new type and location prior to purchasing. 508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1st Offense $100.00 / 2"d Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner Tenant Disposal dSticker at Landfill _
(Once a week minimum)
PaidPickup K Nameof Company t0
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register onlin
(follow online services icon, then Permits & Licen
Signature
(Require)
)
Rev.l0l17D2
https : //yarmouth.ma. us
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