HomeMy WebLinkAbout15 Thacher St paper application0 **INSPECTION 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 Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF TMALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room ln owner
occupied dwellings) and Short Term Rentals. Excluding Hotel,/Motel, kur, 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 RENTAI/
LEASE t NIT. Complete this form and return to the Hedth Ofrice. Checks payable to: *TOWIY OF
YARMOUTH'. For additional FORMS AND/OR QUESTIONS, contact the HEAUTH OFFICE AT
508-398-2231, xI240
HEALTH DEPI
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Rental Properfy Addresst5^tD R EftZE &t/- qA?-" -)0q,1 .lrn n*Lnzru u Ohlt rua, [ . td ru
Owner Name (Required Info)U Email and Phone #
)
Mailing Address City/Town State ZIP
Rental Agent (if any) Email and Phone #
Rental Period: Annual V Seasonal Short Term
Rental of: House_Duplex_Condo_ApartmenQ*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.
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Call fire department regarding questions on new type and location prior to purchasing. 50E-398-2212
PENAIITIES - Late registration of more than 30 DAYS after receipt or violations ofany part of Chapter 108,
nray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1s'Offense S100.00 / 2"d Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative .
Trash Removal by: Owner .,1
(Once a week minimum)
Paid Pickup_ Name of Company
Disposal dSticker at Landfill VTenant
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register o
(follow online services icon, then Permits & Lic
Signature
(Require)
e: https ://yarmouth.ma.us
s).
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