HomeMy WebLinkAbout9 Christmas Way paper application*INSPECTION OF ALL UNITS ARE RE o UIRED!**
Please call to schedule 508-398-2231 , ext. 1240
MON-FRl, 8:30 AM-4r30 PM
Annual Registration is an On,ner Responsibilitl'
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HE
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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HEALTH DEPI
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteliMotel, 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 3l of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Oflice. Checks payable to: ,.TOWN OF
YARMOUTH'. For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-223i, xI240 . /v,1 *tttL,ji' a -72+^ LaZ,-
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Rental Property Address
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Owner Name (Required Info)
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Email and Phone #
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Mailing Address City/Town State ZIP
Rental Agent (if a Email and Phone #
Rental Period:Annual easonal- Short Term_(occupancy less tlran 3 I days)
Rental o Iex_Condo_Aparfnent Room
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
DetectorsiCarbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be replaced.
Calf fire departmcnt regarding questions on new type and location prior to purchasin g. 508-398-2212
Trash Removal by: Owner_
(Once a week minimum)
Paid Pickup- Name of Company
Disposal dSticker at Landfill _
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online: https://yarmouth.ma.us
(follow online services icon,then Permits & Licenses).
Tenant
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
l Offense $100.00 / 2nd Offense $100,00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Re\.l0l11D2 Signature
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