HomeMy WebLinkAbout27 Merrymount Road paper applicationOFALL UNITSARE REOU RED!**I
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ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Tenn Rentals. Excluding HoteVMotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW)'
Note:CompliancewithZoningregulationsisnotinferre4norintended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. X'EE IS S80 PER REI{TAL/
LEASE UNIT. Complete this form and return to the Health office. checks payable to: "TOWll oF
YARMOUTH,. For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240 ' '* '.
Please call to schedule 508-398-2231 ,ext. 1240
MON-FRI, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF I{EAUTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
Rental Property Address
2V 19EoF.l,1'1rurr-r EP,
Owner Name (Required Info)
Sl,vDl?A R, RoEgRTf
Mailing Address
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City/Town
W €LLY'L€I
State
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Email and Phone #
No rh L 568 - 451 - 1340
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02162
Email and Phone #Rental Agent (if anY)
Rental Period: Annual Yiseasonal:
Rental of: House-DuPlexy'Condo
Short Term:
_Apartment-Room-
Tenanll' Disposal w/Sticker at Landhll
-
--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 purchasing . 508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
zrcy be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1.t Offense $100.00 / 2,d 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: https:/iyarmouth.ma.us
(follow online services icon, then Permits & Li
SignatureRev. l0/1722
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*"INSPECTION