HomeMy WebLinkAbout25 West Yarmouth Road paper application0vlfi.l,L L6LA-A"UT 7t
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-kts **INSPECTION OFALI NITSARE REOUIREDU t**
Please csll to schedulc 50t-39&2f f , ert. 1240
MON-FRl. E:30 Alft-{;30 l'lll
Antrurl Registrulion is an ()wncr Responsibility
2023 RENTAL/LEASE REGISTRATION
rOWN OF YARMOI.JTH _ BOARD OF HEAAfi
I146 ROUTE 28, SOUTII YARMOUTH MA 0266{
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ATTENIION I.ANDLORI)S of Houses. Apartments, Duplexes, Condominiums, Room Rentals. (in ou'ner
rccupied dwellingst ald Short lenn Rentals. Excluding Hotelltlotel. lnn,' dging House or Bed and Breakfast
operations. (CIIAPTER 108 - oCcLIPANcY oF BI' {NGS BYI-AW).
Nore; Compliance rvitl Zoning regulations is nol ed nor intended.
RENTAULEASE Rrgirtretions EXPIRE on DECEMBER 3l o ;ech yar. fEE IS StO PER RENTAU-LEASE IIh0T. Completc this form rnd rrlurn to lL€ Resl"h Otfice. C'tidrs peyrbte to: '"TOWN Of -
YARMOLTIIP. For rdditionrl FORMS AND/OR QUESTIONS. coEhcr lhi HEALITH OFFICE AT
508-39E-223I, r1240
Reolrl Propertl Addr€ss
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Owner n-rme (Rcquircd hfo)I r"l ; c- (.-t o u <-.rk:
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Mailing Address City/Town Slate ZI?almqloqetqt,(,
ReEtrl AteDl (ifrny) Email and Phone #
Rental Period: Annual *[ Seasonal- Short Tenn:(occupancy legs thsn 3l days)
Renul of: House Y Duplex-Condo-Apartment-Room
-Spoke Deleclors rad Crrbon Moeo{dc Dc(ectolr ltaqulrcd-
Owneru: I heve cnsnrcd the b.tteri$ trt cbrnged, eed hevc lested ALL Seoke
Detcctors/Cerbon Monoride Detectorr?
Smoke/ CO derectoIs oldcr than l0 ye86 mu$ !e llpliEod . -.a ^r.-,;:-.*--Csll fire depsnment regarding qurstirhs on nerv type and lcation prior to purchasing. 508-i98-22 l2
PENALTIES - l.are rcgis{rarion of more rhan 30 DAYS after rcceipt or violatiom of any prt of Chapter 108
nray tre subject to non-criminal citations issued as fotlows. Each day's violation decmed a seporate offense.
Ir Offense $ 100.00 / 2na Offense Slfi).00 iand each additional) $200.00. This applies to any OI*NER or
Representative.
Trash Removal by: Ovmer _-
lOncc a *.r* minimum)
Paid Pickup_ Name of Company
Tenant X Disposal *y'Sticker at Landfill
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Note: Plersr rrnrove tresh & rtcycle binr fmm road rfter pk{r up day
$t0.00 Annual fee: Owter may also register onllne: htQ,!://ytrmouth.ms.us
(follow online seryic€s icon, then Permits & Licenses).
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Enrail ard Phone #
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