HomeMy WebLinkAbout25 Merrymount Road paper application(.-C.*INSPECTION OFALL UNITSARE REO [,IIRED!**
Please call to schedule 508-398-2231 ,ext 1240
N{ON-FRl, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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ON LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HotelMotel, 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 3l of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Office. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
Rental Property Address
25 fl sefty & 6',.rrA IRP.
0wner Name @equired Info)
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Email and Phone #
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Mailing Address
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City/Town
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State
144
ZIP
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Rental Agent (if any) Email and Phone #
Rental Period: Annual:/ Seasonal- Short Term-
Rental of: House Duplex r/ Condo_Apartment_Room_
--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 purchasing.508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter '108,
rzoy be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
ls Offense $100.00 / 2,a 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 l/'Disposal dSticker at Landfrll _
Note: Please remove trash & necycle 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 & Li
Signature
(Require)
Rev.lUlTn2
censes). . A t'-.4a,,./a- /W#
YARMOUTH H EALTH DEPARTM ENT
1145 Route 28
South Yarmouth, MA 02664
ROBERTS SANDRA B TR
52 KENITWORTH RD
WELLESLEY, MAO2482
RENTAI. 25 MERRYMOUNT RD
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