HomeMy WebLinkAbout1120 Route 28 paper application**INSPECTION OFALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231, ext. 1240
MON-FRI, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEAIJTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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AITENTION LANDLORDS of Houses, Apartments, 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 BUILDINGS BYLAW)'
Note: Compliance with Zoning regulations is not inferred, nor intended'
RENTAL/LEASE Registrations f,XPIR-E on DECEMBER 31 of each year. FEE IS $80 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, xr240
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er Name (Required Info)o
Mailing Address
Aouj,t-and Phone
M"e bEmailIt..
State 7.tP
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City/Town
Rental Agent (if any)
Rental Period: Annual y{easonal:Short
Email and Phone #
(occupancy less than 3l day
Rental of: House Duplex Condo Room
-Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Sm ke
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than l0 years must be replaced
call fire department regarding questions on new brpe and location prior to purchasin g. s0B-398-2212
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PENALTIES - Late registration of more than 30 DAYS after receipt or violations ofany part ofChapter 108,
ma.y be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.I't Offense $100.00 / 2"d Offense $100.00 (and each additional) $200.00. This applies ro any OWNER or
Representative.
Trash Removal by: Owner
lOnce a ueek minimum)
Paid Pickup_ Name of Company
Disposal w/Sticker at Landfill
Note: PIease 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 & Licenses).
Signature
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Re!. l0/17122
https ://yarmouth.ma.us
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