HomeMy WebLinkAbout25 Kerry Ct paper applicationN[2 \drup ilran dl Ce-u**INSPECTION OF ALL UNITS
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ARE REOUIRED l*
Please call to schedule 508-398-2231,ext. 1240
MON*FRI, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibilitl'
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOI.]-TH _ BOARD OF MALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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TEST
JAN 17 2023
H EALTH DEPT.
ATTENTION LANDLORDS of Houses, Aparhnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteVMotel, InrL L,odgiry House or Bed aad Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAL/
LEASE UIrlIT. Complete this form and return to the Health Ofrice. Checks payable to: "TOWll OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the IIEALTH OFFICE AT
50E-39E-2231, x1240
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Rental Pron
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Address-Difloerty
Owner Name (Re uired Info)
Mailing Address
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City/TownSt=FJ moPE
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State
Email and Phone
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Email and Phone #Rental Agent (if any)
Rental P;ri;, anoual -f Seasonal- Short
Rental ofi House-v1 Duplex-Condo-A
Term:
partmenr Room_
-Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Detectors/Carbon Monodde Detectors?
Smoke/ CO detectors older than l0 years must be replaced.
Call fire deparfrnent regarding questions on new type and location prior to purchasing. 508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
zray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lsr Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner _
(Once a week minimum)
Paid Pickup_ Name of Company
Tenant J Disposal dSticker at Landf,rll _
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: owner may also register online: hffps://yarmouth.ma.us
(follow online services icon, then Permits & Licenses).
Signature
(Require)
Rey.l0/17122