HomeMy WebLinkAbout103 A Swan Lake Road paper applicationt\rcd Annon,**INSPECTION oFALL UNITSARE REo UI RED!'r.r
Please call to schedule 508-398-2231 , ext. 1240
MON-FRl, 8:30 AM-'l: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
ATTEN TION LANDLORDS of Houses, Apartments,Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel,Motel, Inn, Lodging House or Bed and Breakfast
operations.(CHAPTER 108 _ OCCUPANC Y OF BUILDINCS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RXNTAL/LEASE Registrations E){PIRE on DECEMBER 31 of each year' FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Oflice. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
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Rental Property Address !iq-tt - ogt+ s4."-A \-r..r$.!(*4 Lrc
Owner Name (Required Info)Email and Phone #
v
City/Town State ZIP
Email and Phone #Rental Agent (if anY)
Rental Period: Annual y' Seasonal- Short Term-
Rental of House-Drfle x llConao
-lpartment-Room-
s than 3l days)
--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 10 years must be replaced'
Call fire department regarding questions on new type and location prior to purchasin
HEALTH DEP]
g.508-398-2212
Trash Removal by: Owner --(Once a week minimum)
Paid Pickup- Name of ComPanY
Tenant Disposal dsticker at Landfill
-
Note: Please remove 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)'
Signature
(Require)
(
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
moy be subject to non-criminal citations issued as follows. Each day's violation deemed a sepalate offense'
lsr Offense S100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Rev.l0l11l22
I
Mailing Address
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