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HomeMy WebLinkAbout71 Swan lake Road paper application@fi14+ sl r**INSPECTION OFALLU NITS ARtr REOU IRED!** 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 OFYARMOUTH-BOARD OF HEALTH 1146 ROUTE 28, SOUTH YARMOUfi{ MA 02664 310(L AL&nS vlQuffi- (t\--Y{ rrrr ATTET{TION LANDLORDS of Houses, Apartnents, Duplexes, Condominiums, Room Rentals. (in owner occupied dwellings) and Short Term Rentals. Excluding HoteyMotel, Inn, Lodging House or Bed and Breakfast operations. (CHAPTER 108 - OCCUPANCY OF BIIILDINGS BYLAW). Note: Compliance with Zoning regulations is not inferred, nor intended. RENTA-L/L-E-4SE Regkratlons EXPIRE on DECEMBER 3l of each year. FEE IS $80 pER RENTAL/ LEASE UNIT. Complete this form and return to the Ilealth Olfrce. Checks payable to: (TOWN OF YARMOUTH'. For addltionrt FoRl\{s AND/OR QUEsrIoNs, contact the HEALTH oFFIcE AT 50&398-2231, r1240 1t (,DI\ r^\ (,4 ILtr; ZOAA ., tt--Xf Y NrTH nn A Rental Property Address * Owner Name (Required Info) C lrrr^G^t . CJ rr- Email and Phone #Z aiv{l.J State ZI? Rentll Rental Rental Agent (ifeny) ,/ Email and phone Period: Annual YSeasonal: Short Ternr_(occupancy less than .3 I days) of: House^-,6ufre*-cor-do-epartnilt_noom_ -Smoke Detectors and Carbon Monoxlde Detectors Requlred- Owners: I have ensured the batterles are chrnged, end 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 purchasing. 509-39g- PENALTTES - Late registration of more than 30 DAYS after receipt or violations ofany part ofChapter 108, rray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense. I'r otrense $1(X).00 / 2na offense $l{x}.00 (and each additional) $200.00, This applies to any owNER or Representative. I FItaom1'I -o1 l\' @ F€c!r\oa, 2 Trash Removal by: Ovner .-/ (Once a week miuimum) Paid Pickupj Name of Company Tenant_ Disposal Wsticker at Landlill tJ 41lS{-T Note: Plesse r€move trrsh & 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 Permits & Licenses Signature (Rcquire) ket.lA/11n2 -rffu.{ffi @'.d I l\.t1iling Address City/Town I