HomeMy WebLinkAbout38A Wedgemere paper application**INSPECTI ON OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231 , ext. 1240
MON-FRI, 8:30 AM-4:-10 PM
Annual Registration is an Ou,ner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HE
sru)t€ ALARNs
5AVE LI'[S
Q,t I146 ROUTE 28, SOUTH YARMOUTH MA 02664
ATTENTION LANDLORDS of Houses, Apartnents, 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 RENTAL/
LEASE UMT. Complete this form and rtturn to the Health Ofrice. Checks payable to: *TOWll OF
YARMOUTH'. For additional FORMS AI{D/OR QUESTIONS, contact the TIEALTH OFFICE AT
508-398-2231, xl240
I)EC 1 5 i0?2
HEALTH OEPI
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Ren Property Address
Name (Required Info)
{D.rl
Email Phone #5b8 IO-a@7Owner
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Address
Rental ent (if any)
Citv/Town State ZIP
Email and Phone #
Rental Period: Annual { Seasonal_ Short Term_
Rental of: HousedDuRlex_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 deparlment regarding questions on new type and location prior to purchasing. 508-398-2212
PENAL,ITIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter l0g,nray be subject to non-criminal citations issued as follows. Each day's violation deemei a sepa.ute offense.
lst ofiense $100.00 / 2'a offense $1(X).00 (and each additional) $200.00. This applies to any OWNER orRepresentative.
Paid PickupJ* Name of Company
Note: Please remove trash & recycle bins from road a pick up day.
Disposal ilSticker at Landfill
https ://ya rm outh. m a. us
Trash Removal by: Owner
(Once a week minimum)
Tenant
$80.00 Annual fee: Owner may also register online:(follow online services icon, then permitf & Licenses)
Signature
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Rev.10/17n2
721
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