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2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEALTH
I 146 ROUTE 28, SOUTH YARMOUTH MA 02664
.,1ffE ALARNS
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ATTENION LANDLORDS of Houses, Aparunents, 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 -OCCUPANCYOF 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 R"ENTAL/
LEASE [JMT. Complete this form and return to the Health Office. Checks payable to: "TOWIY Otr'
,YARMOUTH". For additional X'ORMS AltD/OR QUESTIONS, contact the IIEALTH OFFICE AT
50U-39E-2231, x1240
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HEALTH DEPT,
Rental Property Address
Owner Name (Required Info)
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Email and Phone #
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Mailing Address City/Town State ZIP
Rental Agent (if any)
Rental Period: Annud y' S
Rental of: House Duplex
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Email and Phone #
Shon Term_
_Apartment_Room_Condo
-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 purchasing. 508-398'2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
raay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1.t 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
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online:
(follow online services icon, then Permits & Licenses)
Signature
(Require)
Tenant t/ Disposal w/Sticker at Landfill
-
Rev.l0ll1l22
https ://yarmouth.ma.us
**INSPECTION OFALL UNITS ARE REOUIRED!**