HomeMy WebLinkAbout24 Melville Road paper application%vDtuA+<-. zl?ft/f,13**INSPECTION OF ALLUNITS ARE REOUIRED!**
Please call to schedule 508-398-2231 , ext. 1240
MON-FRl, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF TIEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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AITENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in 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 witih Zoning regulations is not inferred, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each yean FEE IS $80 PER RENTAL/
LEASE IINIT. Complete this form and return to the Health Office. Checks payable to: (TOWI\ OF
YARMOUTH". For additional FORMS AI\[D/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, 11240
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Rental Property Address
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Owner Namenk and Phone #
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Mailing Address afurt"*"State ZIP
Rental Agent (ifany) , Email and Phone #
Rental Period: Annual f Seasonal- Short Term-
Rental of: House-Duplex-Conaolt apartment-Room- gl l
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL
Detectors/Carbon Monoxide Detecton?
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 _
(Once a week minimum)
Paid Pickup_ Name of Company
Tenantl| _ Disposal w/Sticker at Landfill _
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: C)wner may also register online: https://yarmouth.ma.us
(follow online services icon, then Permits & Licenses).
Signature
(Require)
Smoke
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PENALTIES - Late registration of more than 30 DAYS after receipt or violations ofany part of Chapter 108,
nray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
l$ Offense $100.00 / 2"a Offense $100,00 (and each additional) $200.00. This applies to any OWNER or
Representative.