HomeMy WebLinkAbout53 Pondview Ave paper applicatonPlease call to schedulc 508-398-2231, cxt. 1240
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Annual llcgistralion is an ()uner liesponsihilitr
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEALTH
I 146 ROUTE 28, SOUTH YARMOUTH MA 02664
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ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Renlals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HotelMotel, 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 Office. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
53 (& Pc,-\ v\zLL/ 4.,.4-
Rental Property Address
C-[nrt L) A')\-
o.Email and Phone #/\rLyonmark Property
P.O.Box 411
West Hyannisport ,MA.02672
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ZIP
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Email and Phone #Rental Agent (if any)
Rental Period: Ann asonal (occupancy ess than 3l d
Smoke
e
Rental of: House Condo_Apartm ent Room
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL
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 purchasin g. 508-398-221/
Trash Removal by: Ovrner _Disposal w/Sticker at Landfill _
Name of Company BP-oTLtra)
ove 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).
S ignature
(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 $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any O\\D{ER or
Representative.
Tenant
d Pickup
Rev.10ll7l22
**INSPECTION OF ALL UNITS ARE REOUIRED!**
Short Term: