HomeMy WebLinkAbout39 West Yarmouth Road Applicationln accordancewrth tOS CMR 410.560,
containing two or more dwltllng u
respon!lbb
I, THE OWNER. CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCEwtTH MA STATE SANITARY coDE 105 CMR 410.560 (c) aND .t05 cMR 41
and lxcapt rs providrd in I OS CMR 4-1O.S6O(C) (ror BULK it6ms) , the owncr of any residoncenlt!, a roomlng house, homatoss sh.ltar, or manuiactured hor"ing "olrl;rn,,r, "r,"ff O"ior and pay for th6 finat co[.ection and uttimate disposat o, rer;"": - - '
0.s50 (4)(E)
RENTAL PROPE Rry ADDRESS.l
PRO PERTY OWNER NAME
PROPERTY OWNER MAILING ADDRESS
PROPERTY OWNER PHONE #
PROPERry OWNER EMAIL ADDRESSREOUTREU
OWNER INITIALS
REMTAL INFORMANON
AVALID PHONE # OR EMAIL.WLL ibl 8E PROCESSED
I ,I e*)r<
a
OWNER'S RE ESE AGENT
IF APPLICABLE
REQUIRED
REPRESENTATMEF NE
REPRESENTAT EMAIL AD RESS
RENTAL PERIOD:
TRASH REMOVAL BY:
PAID PICK.UP TRASH COMPANY I\IAME:
4cazzcaslze
G.TERM/YEAR-ROUND f SHORT-TERI,4,^/VEEKLY
o{*o*',
/nouse
N OWNER
tr DUPLEX fCONDO
'APARTMENT
trROOM
NUMBER oF uNrrs FoR REN. /
a1Ii
ALTERNATIVE PHONE #
:a ; r., iCA-dL;
I hereby acknowtedge that I have thoroughty reviewed and am futty famil.iar wfth the tottowing regulations:Town of Yarmouth Chapter 108 -Rrntal Housing Bytaw,Town of Yarmosth Chapter lOa-Anti-Noise 8ytaw, Town of yarmouthShort-Term Rental. Bytaw (if apptjca bte), Massachusetts State Sanitary Code, Chsptor ll - Minimum Standards ot Fitnass for HumanHabitation
These documents are svaitabtefor reference on the otficiYarmouth Heatth Department. Furthermore, I understa
rentingthe property. Faiture to d
at,Town of Yarmouth website and may atso be obtained upon request from thend that I am required to norify the Health Department in w;iting *n"n f ceaseo so may result in the impcsition offines and/orfees.
QUESflONS: phons #: 50g-398-2231 Ex. 1240, EmaiL rnrederbergercdyarmouth.mp.ug
APPLICANT SIGNATURE
DATE
RENTALS
RENTAL OF: