HomeMy WebLinkAbout254 Wood Road paper applicationt **l SPECTI ON OFALL UNITSARB R EOUIRE,D!**
Please call to schedule 508-398-2231, ext. 1240
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Annual Registration is an Orvner Responsillilitv
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH_BOARD OF HEAXIH
1146 ROUTE 28, SOUTH YARMOUITI MA 02664
ATTENTION LANDLORDS of Houses, Apartnents, Duplexes, Condomini',ms, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel,4Vlotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BIIILDINGS 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 ITNIT. Complete this form and return to the Health Office. Checks payabte to: ..TOWN OF
YARlvIourH'' For additional FoRMs AI\tD/oR QUF irIoNS, contact the EEALTH oFFICE AT
50&39&2231 1240
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Rental Property Address ^?e+tr CD ' [rtot' I Tcqst
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Owner Name (Required Info)
Noter Please remove trash & recycle bins from road after pick up
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Mailing Adilress City/Iown State
Rental Agent (if any)
Rental Period: AnnuaI /Seasonal-.rort Term:( occupancv les
Email and Phone #(v\.r o26€,o
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Rental of: House ,/Duplex_Conr __Apartment Room
-Smoke Detectors and Carbon Monodde Detectors
Owners: I have ensured the batteries are changed, and have
Detectors/Carbon Monoxide Detectors?Smoke/ CO detectors older than l0 years must be replaced.Call fire deparunent regarding questions on new q4re and location to purchasing. 508-39g-22 l2pnor
Trash Removal by: Owner Disposal Vsticker at Landfill(Once a week minimuo)
Paid Pickup_V.Name ofCompany Dor^Srl tif
Signature
(Require)
Email and Phone #
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$80.00 Annual fee: Ou
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online: https://yarmou th.ma.us
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LT registration AYS receipt lationssubjectnon-criminal citations issued day violation
additional)This appliestative.
APEN IES Late ofmore 30than D after or vlo ofb ofanypart,rtay to Chapterasfollows.Eachsl deemed aond te$lffense 00.00 2 separa offense.Offense $100 00 and each($200.00.R to oepresenanyWNER or
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