HomeMy WebLinkAbout33 Arlington St paper application2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEALTH
I 146 ROUTE 28. SOUTH YARMOI.]TH MA 02664
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteyMotel, Irur, 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 ofeach yesr. FEE IS $E0 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
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Rental Property Address
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Owner Name @equlred Info)6q C-or<- s'r-Email and Phonc #S*a.-*...56,o- Mqss ar L111
Mailing Address
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CitvlTown State ZIP
Rental Agent (if any)
Rental Period: Annuat/C Seasonal Short Term
Rental of: House XDuplex-Condo-Apartment-Room-
Email and Phone #
-Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smo
Detectors/Carbotr 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
Trash Removal by: Owner _
(Once a week minimum)
Paid Pickup X Name of Company
Tenant X Disposal WSticker at Landfill _
Note: Please remove trash & recycle 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 & Licenses).
Signature
(Require)
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part ofChapter 108,
,ray be subject to non-criminal cilations issued as follows. Each day's violation deemed a separate offense.
lstOffense $100.00 / 2na Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
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