HomeMy WebLinkAbout30 Breezy Point Road paper application"-r
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**INSPECTION OFA LL UNITS ARE REOUIRED!**
Please call to schedule 50E-398-2231, ext. 1240
MON-FRl, 8:30 AM-4:30 PM
Annual Registration is an Clrvner Responsibilill
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEALTH
I 146 ROUTE 28, SOUTH YARMOUTH MA 02664
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HEALTH DEPT.
ATTENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteVMotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BLIILDINGS BYLAW).
Note: Compliance with Zoning regulations is not infened, nor intended.
RENTAL/LEASE Registrations E)CIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAL/
LEASE {JhIIT. Complete this form and return to the Hedth Office. Checks payable to: 'TOI N OF
YARMOUTH". For additiond FORII{S AND/OR QLIESTION
50t-39E-2231, 11240
S, contact the HEALTH O AT
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Owner Name (Requ lred Info)
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Email and Phone #I ".-rf\^
City/Town
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Mailing State ZIP
Rental Agent (if any)
Rental Period: Ann
Rental of: House
,./ Email and Phone #
l:Z'ShortTenq-(occupancy less than 3l days)
Condo_Apartment Room_
-s Detectors and Crrbon Monoxide Detectors Requlred-
Owners: I heve ensured the batterles are changed, and hlve t$ted ALL Smoke
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be rcplaced.
Call fire departrnent regarding questions on new type and location prior ro purchasing. 508-398'2212
Trash Removal by: Owner Tenant_ Disposal ilSticker at Landfill
-
(Once a week minimum)
Name of Company Ca-u LzaPaid Pi
Note: Please remove trash & recycle blns from road rfter plck up day'
$E0.00 Annual fee: Owner may also register online: h
(follow online services icon, then Permits & Licenses).
Signatrue
(Require)
PENALTIES - Late registration ofmore than 30 DAYS after receipt or violations ofany part of Chapter 108,
ary be subject to non+riminal citations issued as follows. Each day's violation deemed a separate offense.
lr Offense $Ifi).fi) / 2u Ofreose $100.00 (and each additional) $2(X).00. This applies to any OWNER or
Representative.
Rev.lU11n2
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