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?/tL>**IN PECTIO N OFA RE REOU IRED!**
Please call to schedule 508-398-2231 , ext. 1240
MON-FRI, 8:30 AM-4:30 pM
Annual Registration is an Owner Responsihility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEAXTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
AITENTION LANDLORDS of Houses, Apartments, Duplexes, Condominir,ms, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, Inn, Lodging House or Bed and Breakfast
operations. (CIIAPTER 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. Complete this form and return to the Health Ofiice. Checks payable to: *TOW1 OFYARMOUTH'. For additional I'ORMS AND/OR QUESTIONS, contact rhe HEAXTH OFFICE AT
508-398-2231, x1240
f,1OG ALARAS
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Rental Property Address
d '1.5 4
Owner Name Info)Email Phone #
1
Mailing Address own State ZIP
Rental Agent (if any)Email and Phone #
Rental Period:Annual -L Seasonal- Short Term_Qt"o'.an3 days)
Rental of: Housel' Duplex-Condo_Apartment Room
Trash Removal by: Owner
(Once a week minimum)
Paid Pickup_ Name of Company
Note: Please remoye trash & recycle bins from road after pick up day.
Signature
(Require)
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--Smoke Detectors and Carbon Monoxide Detectors Required_ 7.7,_owners: I have ensured the batteries are changed, and have testea ar-l s#idd
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be replaced.Call fire department regarding questions on n.* typ" uni location prior to purchasing. 50g-3gs-22r2
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$80.00 Annual fee: owner may also register online: https://yarmouth.ma.us(follow online services icon, then permiti & Licenses).
Tenantl: _ Disposal dsticker at Landfrll
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PENAITIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 10g,rnay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.ls offense $100.00 / 2,,d offense $100.00 (and each additional) $200.1)0. This applies to any oWNER orRepresentative.
Rev.l0l17D2
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