HomeMy WebLinkAbout103 Swan Lake paper application**INSPECTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231, ext. 1240
MON-FRt, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOI.]-TH - BOARD OF TMALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
ATTENTION LANDLORDS of Houses, Apartrnents, 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 - OCCUPANCY OF BUILDINGS BYLAW)'
Note: Compliance with Zoning regulations is not inferred, nor intended'
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each yean FEE IS $80 PER RENTAL/
LEASE LJNIT. Complete this form and return to the Health ofrice. checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QT ESTIONS, contact the IIEALTH OFFICE AT
508-398-2231, x1240
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Ren Property Address
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Owner Name (Required Info)Email and Phone #
Mailing Address
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City/Town State ZIP
Rental Agent (if any)
Rental i"eriod: Annual ulseasonal-Short Term:
Rental of House-Duple x 17'Condo
-Apartment-Room---Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Email and Phone #
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 purchasing. 508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
raay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1.t Offense $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
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online:
(follow online services icon, then permits & Licenses)
Signature
(Require)
Tenant_12' Disposal dsticker at Landfrll
Rev.10/11n2
https ://yarmouth.ma.us