HomeMy WebLinkAbout2023 Paper ApplicationIL b_**INSPECTION OFALL UNITS ARE REOUIRED!**
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 HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA b2664
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ATTENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel./Motel, Inn, Lodging House or Bed and Breakfast
opemtions. (CHAPTER 108 -OCCUPANCYOF BLILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 3l of each year, FEE IS $80 PER RENTAL/
LEASE UMT. Complete this form and return to the Hedlth Oflice. Checks payable to: 'TOWI\ OF
YARMOUTH'. For additional FORMS AI{D/OR QTIESTIONS, contrct the HEALTH OFFICE AT
50E-398-2231, x1240
Rental Prooertv AddressFl" y Gros4 J Lo"t e Yc-rtrtetvl l?-ru,fylc a 7 4 t'
Owner Name (Required
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Emai and #o/J <M
StaM4ilipg Address, City/Town/ / 1 l/e;fi 0.r,)R * V q..)1rh oL7il
n/ry "'. L€? 5-<<
Rental Agent (if any) , /
Rental Period: Annual "/ Seasonal Short Term
Rental of: House ;,/ puplex_Condo_Apartment Room_
Email and Phone #
s than 3l days)
--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 purchasin g. 508-398-2212
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.
lst 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 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 lO/\1D2