HomeMy WebLinkAbout5B Manor Path paper application**INSPECTI ON OFALL UNITS A llE REOUIRED!**
Please call to schedule 508-398-2231 , ext. 1240
NION-l'RI, 8:30 AM-.|:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
J'1OC ALARNS.er,ru--H ,.t-tl
Rq\q
\
AITENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteVMotel, 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 [NIT. Complete this form and return to the Health Ofiice. Checks payable to: "TOW]I OF
YARMOUTH'. For additional FoRMs AND/OR QUESTIONS, contact the HEAITH OFFICE AT
308-398-2231,t1240
t).ru,'L B- t tt4ai,lerz- ?*(t L.-bJL '1'4"*"'*&tt4A o
Rental Property Address
er Name uired Info)
-+%
Email and Phone * 6 / ? -*-t Z- o
4L ,.4a;f"Co".
Rental Agent (if any)
Rental Period: AnnuaLl( Seasonal: Short Term:(occupancy less th
Rental of: ftouser[nuptex-Condo-epartrrent-Room-
Mailingtq Address City
),1.7a..r\J7-
StateAb2L "/ZIP*z"-a\bL ?44 A o2b2 3
Email and Phone #
--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 department regarding questions on new type and location prior to pulchas,ng.l!!:398-22t2
PENAXTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
ncy be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lst Ofense $100.00 / 2na Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner _
(Once a week minimum)
Paid Pickup_ Name of Company
Tenant X
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online: https://yarm3[thlfmm
(follow online services icon, then Permits & Licenses).
Signature
(Require)
Disposal ilSticker at Landfrll _
RECE,VED
Re\ . l0/ 17 122