HomeMy WebLinkAbout5 Manchester paper applicationo**INSPECTION o FALL UNITS ARE RE UIRET)ld.*
Please call to schedulc 508-398-2231, ext. l2'10
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,\nnrral Rcgislration is an Owncr l{csponsihilitl
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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ATTENTION LANDLORDS 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 inferred, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER REI{TAL/
LEASE [h[T. Complete this form and return to the Herlth Ofiice. Checks payable to: "TOWll OF
YARMOUTII". For additional FORMS AND/OR QUESTIONS, contrct the IIEALTH OFFICE AT
5118-398-2231, x1240
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rE8 13 2023
HEAIEI DEPI
Rental Property Address
It/ny^tE 142/44€-6 u4vre rt{Z Plut t404 O 4i,44/t, eon sbf '3s./- 8872
Owner Name (Required Info)Email and Phone #
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Mailing Address City/Town State ZIP
Rental Agent (if any) ,/ Email and Phone #
Rental Period: Annual y' Seasonal- Short Term-
Rentalof:House Duplexy'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 queslions on new r!-pe 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,
rray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lsrOffense $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
Disposal dSticker at LandfillTenant
Note: Please remove trash & recycle bins from road after pick up day.
S80.00 Annual fee: Owner may also register online:
(follow online services icon, then Permits & Licenses).
Signature
(Require)
Rev. l0/17122
https ://yarmouth.m a.us
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