HomeMy WebLinkAbout675 Rte 6A paper application6'y **INSPECTION OFALL TS ARE REOUIRED!**
Please call to schedule 508-398-2231 , ext. 1240
MON-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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ATTENTION 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 31 of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Office. Checks payable to: "TOWII OF
YARMOUTH". For additional FORMS AI\D/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231,x1240
Rental Property Address
Owner Name uired Info
Mailing Address
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Email and Phone #
ZIP
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City/Town State
Rental Agent (if any)
Rental Period: ArntraLJeasonal- Short Term-
Rental of: House Duplex u/Condo_Apartment Room_
Email and Phone #
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--Smoke Detectors and Carbon Monoxide Detectors Req
Owners: I have ensured the batteries are changed, and have tested A
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than I0 years must be replaced.
Call fire department regarding questions on new type and location prior to purchasing. 508.1a_t 2';
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PENAXTIES - Late registration of more than 30 DAYS after receipt or violationWf zfii part of Chapter I 0g,
nray be subject to non-criminal citations issued as follows. Each day's violaiuon deemed a separate offense.
lst Offense $100.00 / 2'a Offense $100.00 (and each additional) $200,00. rrhis applies to any OWNER or
Representative.
Trash Removal by: Owner _
(Once a week minimum)
Paid Pickup './ Name of Company
Tenant /Disposal'/Sticker at Landfi ll
Note: Please remove trash & recycle bins from road after pick u day.
$80.00 Annual fee: Owner may also register onlir.re: https://yarmouth.ma.us
follow online services icon, then Permits & Licenses
Signature
(Require)
(
Rev. l0/ 1722
).
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