HomeMy WebLinkAbout151 Bayview St (30A &B Arlington Street) paper applicationoc
RENTAL/LEASE Registrations EXPIRE on DECEMBER 3l of each year. FEE IS SEO PER RENTAL/
LEASE UNIT. Complete this form and return to the Herlth OIIice. Checks payable to: (TO\ryN OF
YARI||OUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-39Ii-2231, x1240
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Owner Name (Required Info)S,^c.-,UG.-\Af\ o.
Email and Phone #Cq, C.oJ<- S\-o.l-l f
Mailing AddressnahL City/Town State ZIP
Rentel Agent (if any)
Rental Period: Annual A Seasonal- Short Term:
Rental of: House-_.,\Duplex A Condo_Apartment Room_
Email and Phone #
Disposal ilSticker at Landfill
-Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are chrnged, and have tested ALL S
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. 508-3
Trash Removal by: Owner 2(
(Once a week minimum)
Paid Pickup-_,!i Name of Company
Tenant
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 & Lice
Signature
(Require)
PENALTIES - Late registration of more than 30 DAYS after receipt or violations ofany part of
raay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
ls offense $100.00 / 2no offense $100,00 (and each additional) $200.00. This applies to any owNER or
Representative.
pter 108,
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http s : //yarmouth.m a. u s
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