HomeMy WebLinkAbout4 Forest Road 2023 paper applicationa4)b@ffiu**INSPECTTON OF ALL UNIT U ED lrtrt
Please call to schedule 508-398-2231 , ext. 1240
MON-FRl, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF TM,AIJTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
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AITENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Tenn Rentals. Excluding Hotel./Motel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not infened, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAL/
LEASE IINIT. Complete this form and return to the Health Office. Checks payable to: &TOWN OF
YARMOUTH'. For additional FORMS AI\D/OR QUESTIONS, contact the HEALTH OFF'ICE AT
508-398-2231, x1240
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Rental Property Address C1t*cA\b€,,
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Owner Name (Required Info)Email and Phone #1L OLD N A) t)s S-Ynw""lt"lufr o?Jb+
Mailing Address City/Town State ZIP
Rental Agen
Rental Peri
t (if a Email and Phone #
- Seasonal- Short Term-
I ex_C ondo_Apartment_Room_Rental o o
Smoke
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL
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. 508-398-2212
I
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
rzay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
ln Offense $100.00 / 2'd Offense $100.00 (and each additional) $200.00, This applies to any OWNER or
Representative.
Trash Removal by: Owner
(Once a week minimuml
Paid Pickup_ Name of Company
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online:(follow online services icon, then permiti & Licenses).
Tenant---X Disposal dsticker at Landfill
Signature
(Require)
Rev.l0/l'l/22
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