HomeMy WebLinkAbout20 Theatre Colony Lane paper applicationIrb,,c
**INSPECTION OF ALL UNITS ARf,REotlIRED!**
Please call to schcdulc 508-398-2231, ext. 1240
MON-FRI, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibllity
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEALTH
1146 ROUTE 28, SOUTI{ YARMOUIH MA 02ffi
Seasonal- Short Term (occupancy less than 3l days)
lex_Condo_Apartnent Room
aro([ AL nn5
squ*tJ45--$ "'
ATTEI'ITION LANDLORDS of Houses, Apsrtnents, Duplexes, Condomiaiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotetltrtotel, Inn, lndging House or Bed and Breakfast
operations. (CIIAPTER 108 - OCCLJPANCYOF BLTILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAL/LEASE Regktrrtlonr EXPIRE on DECEMBER 3l ofeach yerr. FEE IS $E0 PER RENTAL/
LEASE t NIT. Complete thk form and rtturn to thc Hedth Office. Chcc}r pryrble to: (TOIYN OFYARMOIIIU'. For oddltlonal F()RMS AND/OR QUESTIONS, coutact tte HEALTIiOf'FICE AT
50&39&2lll, rlZ0
Ren Prope(y Addrers Gi7-3a?-qbt
Owner N Email and Phone #
Retrtd Agent and #
Rental
Rental of:RECEIVED
-Smoke Detectors end Carbon Monorlde Detectors Requlred-
Owners: I hnve ensured the bctterles lre chenged, end have tested ALL Smoke
Detectorc/Cerbon Monoride Detectors?
Smok€/ CO detectors older than l0 years must be rcplaced.
call fire department r€gsrding questions on new typc and location prior to purchasing. 508-3gE-zzlz
Tenant I'---+rc-Disposal ilSticker at LandfillTrash Removal by: Owner _(Oncc a wcek minimum)
Paid Pickup_ Name of Company
Note: Plerse remove tr.!h & recycle blnc frcm rord rfter plck up dey.
$80.00 Annual fee: Owner may ako regfuter online:
(follow online services icon, then Permits & Licenses)
Signature
(Requlre)
PENALIIES - Late regisEation of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nay be subject to non-criminal citations issued as follows. Each day's violation dccmcd a separate ofrcnsc.
I n Offense $l00.lXl / 2u Offcnse $llX).]X) (and each additional) S2lXl.fi]. This applies to any OWNER or
Representative,
Rar.lUlln2
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