HomeMy WebLinkAbout20 Courtland Way paper application**INSPECTION OFALL U NITSARE REOUIRED!**
Please call to schedule 508-398-2231 , ext. l24O t 10€ AtMON-FRI, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsihility
2023 RENTAL/LEASE REGISTRATIO
TOWN OF YARMOUTH - BOARD OF
1146 ROUTE 28, SOUTH YARMOUTH MA 02664 HEALTH DEPT.
AITENTION LANDLORDS of Houses, Apartnents, Duplexes, Condominiums, Room Rentals. (in ownet
occupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, Inn, Lodging House or Bed and Breakfa:---.-
operations. (CHAPTER I 08 - OCCIJPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
REI{TAL/LEASE Registrations EXPIRE on DECEMBER 3l of each yean FEE IS $80 PER RENTAU
LEASE UNIT. Comptete this form and return to the Health OIIice. Checks payable to: "TOWll Of,'
YARMOUTH". For additional FORMS AIYD/OR QUESTIONS, contact the HEAITH OFFICE AT
508-398-28r, x1240
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Rental PronSf,Add *15+J-{cis
and Phone #
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Email and Phone #
isposal dSticker at Landfill _Trash Removal by: Owner
(Once a week minimum)
Paid Pickup_ Name of
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).
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City/Town
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Tenant
Mailing Address
Rental Agent (if
Rental P
Rental o
te
erl al_ Short Term-
ondo_Apartment_Room_
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries ane 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
Signature
(Require)
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
rzay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lst Offense 5100.00 / 2d Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative
Rer l0/11n2
https :/iyarmouth.ma. us