HomeMy WebLinkAbout269 & 271 Old Townhouse Road paper registrationL
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**INSPECTION OFALL NITSARE R
Please call to schedule 508-398-2231, ext. 1240
MON-FRJ, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibillty
TRATION
WN OF YARMOUTH - BOARD OF HEALTH
1146 ROUIE 28, SOUTH YARMOUTH MA 02664
ATTENITON LANDLORDS of House.s, Aparbents, Duplexes, condominiums, Room Renals. (in owner
occupied dwellings) and Shon Term ReotBls. Excluding Hotellv{otel, Inn, Lodging House or Bed and Brcakfast
opetations. (CHAPTER 108 - OCCT PANCYOF BIJILDINGS BYLAW).
Note: Compliance with Zoning regulations is aot infcrred, nor intonded.
RENIAI,IEASE Reglrtrrtlom EXPIRE on DECEMBER 3l of each year. FEE Is $t0 pER RENTAU
LEASE uNrr. complete thlc form rad return to thc Ecrlth ol[ce. chcckr pryeble to: 6TowN oF
YARMOUTH". For rddltlond FORMS AND/OR QLIESTIONS, contect rhe IIEAIjTH OITICE AT
50&39&22it1, rl240
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Rental Property
I OL]\ toc,ln *ot^s e iciA tI A{1n@r tuk
R o n,r-J\(, r'h\ L"i ncl(^a f ovrV,. ct
Email and #
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Owner Nrme (Rcqutred lnfo)
lr, ) l\\ .w -L,. r\ tr^ ft ,t - Ur rrn,
5.o 6\')0) nn*o) f,3 F
Mrtllag tr{6yssg Clty/fown Strte ZIP
Rentd Agent (lfrny) Email and phone #
Rental Period: Annual j Seasonal: Short Term:(occupancy less than 3l days)
Rental of: House{Duplex_,1, Condo_Apartrnent_Room
-Smoke Detectors rnd Cerbon Monodde Detectolr Rcqulred-
Owncrr: I heve enrured the brtterlec are chengcd, rnd heve tccted ALL Smoke
Detectorr/Cerbon Monorlde Detectorr?
Smoke/ CO detcctors older thrn l0 years must be rcplaced.
Call fire departnent regarding questions on new typc 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,ary be subject to non-criminal citations issued as follows. fuch day's violation deemed a separate ofense.lr offense $Ifll.lxl / 2na offense $Ifi).fi| (and each additional) $2fi).fi), This appties ro any owNER or
Reprcsentative.
Trash Removal by: Owner _(Oncc a weck -inimlq)
Paid Pickup_ Name of Company
Tenant-l=_ Disposal Wsticker at Landfill
Note: Pleese rrmove trerh & recycle blnr from rord efter plck up dey.
z1 ) //,, ",&ry.lU17n2 Signature
(Requlre)
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$t0.00 Annual fee: Owner may tko register ontlne: https://yarmouth.ma.us
(follow online services icon, then permits & Licenses).