HomeMy WebLinkAbout309 Camp Street paper application*,rINS PECTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231 ,ext. 1240
MON-FRI, 8:30 AM-4:30 PM
Annual Registration is an O* ner Responsibility
2023 RENTAL/LEASE REGISTRATION
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WN OF YARMOUTH - BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
ON LORDS of Houses, Apartments, 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 with Zoning regulations is not infened, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 3l of each year. FEE IS $80 PER RENIAL/
LEASE UNIT. Complete this form and return to the Health Office. Checks payrble to: "TOWN OF
YARMOUTH". For additional FORMS AIil)/OR QUESTIONS, contact the HEALTH OFFICE AT
508-39E-2231, x1240
.Altl€ ALARNS
SAVE I lttr5
DEC i U 2022
HEAITH OEPT,
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roa-a-12 oTo(Rental Properfy Address
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Email and Phone #
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Owner Name (Required Info)
Mailing Address Citv/Town
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State
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ZIP
Rental Agent (if any) , Email and Phone #
n.n,uf p'".ioi, ar.r',,.ruf /Seasonal_ Short Term-
Rental of: House',zDuplex_Condo_Apartment_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 purchasin g. 508-398-2212
PENAIITIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
may be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
ls'Offense $100.00 / 2no Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removalby: Owner /
(Once a week minimup
Paid Pickup_1u' Name of Company
Note: Please remove trash & 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
Tenant Disposal w/Sticker at Landfill _
Re\.10/17122
(Require)
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