HomeMy WebLinkAbout40 Raymond Ave paper applicationp7fSrq^A
*INSPECTION Kw IT RE REOUTRED!**
Please call to schedule 508-398-2231 , ext. 1240
MON-FRI, 8:30 AM-.|:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HE
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
ATTENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiures, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HotelMotel, Inn, 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 31 of each year: FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health OIIice.
YARMOUTH'. For additional FORMSAND/OR QUESTIONS, co
50E-39E-2231, x1240
Checks payable to: "TOWN OF
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Rental Property Address
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Owne r Name (Required Info Email and
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HEALTH OEPT,
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Mailing Address tylTown
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Rental
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Agent (ifany) / Email and phone #
Period: Annual "/ Seasonal Short Term
of: House .,/ Duplex_Condo_Apartment_Room_
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be replaced.
call fire department regarding questions on new type and location prior to purchasing. sot-3gt-zzlz
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
l$ Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner_
(Once a week minimum)
Paid Pickup_ Name of Company
Tenant Disposal w/Sticker 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)
Rev.l0l17l22 t<lJ d--
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YARMOUTH HEALTH DEPARTMENT
1146 Route 28
South Yarmouth, MA 02564
WEBSTER JOSEPH W
58 WILLIAMSBURG AVE
HARWICH, M402645
RENTAL. 40 RAYMOND AVE
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