HomeMy WebLinkAbout305 Camp Street paper applicationI D l****[N PECT o F U
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Please calt to schedule 508-igg-zzlt, ext. 1240
5AVE tM1
MON-FRI,8:30 AM-4:30 PM
Annual Registration is an Owner ResPonsibilitY
2023 RENTAL/LEASE REGISTRATION DEC 2 7 2022
TOWN OF YARMOUTH - BOARD OF
HEA LTH DEPT
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
AL NIT A
ArTENTloNLANDLoRDSofHouses,Apartments,Duplexes,Condominiums,RoomRentals.(inowner
*.,p*adwertinesrandshori5"ilH5#*[il5'g3lJfr
"r"it#]U*tandBreakrast
operatlons'
No"' con|ii#" 'itn7""'"* "*llations
is not inferred' nor intended'
RENTALiLEAs' n"gi.t."'ilof i**,ii' ". ;ti"#;i. r;;;;;;;" FEE rs s80 PER RENTAL/
LEASE UNIT. Co-pl"t" tiilio-* "ra ."tr.r, to tt" fr""fti Om*'
-Cnect<s
f-aVable to: "TOWN OF
-iiffiouiu,,. ,";"uui,1o"'ii,";Biilr:;ffi".'a;i"tiioni, ",",act the HEALTH oFFICE Ar
Rental ProPertY Addrress
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Owner Name
L4
Info)t&a
Email and Phone #
ue e l//1b1
ity/Town
ZIP/>0 4/Mailing Address
Email and Phone #
Short Term-
-APartrn
ent 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 department regarding questions on new tYPe and location Prior to Purchasing. 508-398-2212
Trash Removal bY: Owner
-
Disposal w/Sticker at Landfrll =-
(Once a week minimum)
Paid PickuP-Name of ComPanY
ad after Pick uP daY'
Note: Please remove trash & recYcle bins from ro
580.00 Annual fee:Owner may also regrs ter online:
(follow online ces icon, then Permits &Li
3l days)
Representative
latioreceiPtAY ffensesfiationlatiALIIEScitati-criminal Thissubjtionaladdi
081foChapterfoanypartNSovlorafterSD03thanremofooareLatedeemedseParategronovlNSPEEachdayowsl1foasuedorrssRonsWNEotoIesonanyntoect00appbe$200may)eachand0000I($ffenseo2"d0000.st 1sOffense1
Rev. lOi l?22
servl
Signature
(Require)
httPs://Yarmouth'ma'us
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