HomeMy WebLinkAbout57 Wilson Road paper application**IN SPECTION OFALL UNITS ARE REOU IRED!**
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 I{EALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
91O(E ALARAs
SAVE I l\f 1
ATTENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in 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 infened, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAL/
LEASE UMT. Complete this form and return to the Health Oftice. Checks payable to: ,.TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEAITTH OFFICE AT
508-398-2231, x1240
L'[a 1B 2022
HEALTH DEPI
Lr: ::IVED
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Rental Property Address fi^t ,f
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Owne Name nfo)
Mailing Address
Trash Removal by: Owner
(Once a week minimum)
2,t
31
Emai P #
ZIP
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Citv/Town te 'x0
Email and Phone #Rental Agent (if any)
Rental Period: Annualf, Seasonal- Short Term-
Rental of: House! Duplex_Condo_Apartmint Room
s than 3l days)
-Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Detectors/Carbon Monodde Detectors?
Smoke/ CO detectors older than l0 years must be replaced.
call fire department regarding questions on new type and location prior to purchasing. 5o$-3gg-2212
Paid Pickup_ Name of Compan
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)
PENALTIES - Late registration
raay be subject to non-criminal c
lst Offense $100.00 / 2na Offense
Representative.
of more than 30 DAYS after receipt or violations of any part of Chapter 108,
itations issued as follows. Each day's violation deemed a separate offense.
$100.00 (and each additional) $200.00. This applies to any OWNER or
Rev.l0l17l22
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Disposal dSticker at Landfill