HomeMy WebLinkAbout8 Archie Road paper applicationECTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231 , ext. 1240
MON-FRI, 8:30 AM-4:30 PM
Annual Registratinn is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
AfTENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteVMotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 -OCCUPANCYOF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred nor intended.
RENTAL/LEASE Registrations EXPIR"E 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: ..TOWI{ OF
YARMOUTH'. For additional F'ORMS AND/OR QTIESTIONS, contact the I{EALTH OFFICE AT
508-398-2231, xI240
:,1tXG ALARNS
5AVL I Nt5
JAN 0 g 2022
HEATTH DEPT
I Aqchrq, Rd \Abst oc lna ,\+[
Rental Prop Ad
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er Name (Required Info
o 0
Mailing Address
,sfE"U illa-o 5
omC-Orh e(d ohoo,com
and Phone #
State ZIP
dress
04 ouor
5
6bb -664
)
D
City/Town
Rental Agent (if
Rental Period:
Rental of: Hou
anY) Emait and Phone #
Annual X Seasonal-- Short Term-
se X Duplex_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 detecrors older than l0 years must be replaced.call fire departmenl regarding questions on new type and Iocation prior to purchasing. 50g-3gg-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter l0g,nray be subject to non-criminal citations issued as follows. Each day's violation deemei a separate offense.
1st offense $100.00 / 2na offense $100.00 (and each additional) $200,00. This applies to any OWNER orRepresentative.
Trash Removal by: Owner
(Once a week minimum.l
Paid Pickup_ Name of Company
Tenant_L Disposal dsticker at Landfill
Note: Please remove trash &recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register onlin(follow online services icon, then permiti & License
e: https ://yarmouth.ma.us
s).
Signatwe
(Require)
Rev.l0/17122