HomeMy WebLinkAbout441 Buck Island Road I4 2026 Rental ApplicationRENTAIS - REFUSE,BILIW
ln accordance with 1OS CMR 4i0.56b, and exccpt a3 provided in I 05 CMRcontainingtwo or moro dwelting unitr, a rooming house, homel.ess shresponsibb torand payforthe final co[.ection a
I, THE OWNER, CERTIFYTHAI MY RENTAL PROPERry WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCEwtTH MA STATE SAN|TARY CODE 105 CMR 410.550 (C) AND r 0s cMR 410.s60 (4)(E)
410,560(C) (fur BULK items) , the owner of any residence
6lter, or manufacturod housing community, shalt bend ultimate di3posal of r€fuse.
4OWNER INITIALS
RENTAL INFORMATION
VALID PHONE # OR EMAIL WILL PROCESSED
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PROPERTY OWNER MAILI ADDRESS
PROPERry OWNER PHONE #
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ESS
EMAIL AD RESS
RENTAL PERIOD
PAID PICK.UP TRASH COMPANY NAME:
Cra/os -l-lres /,?4A Oq7d
ALTERNATIVE PHONE #
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PROPERTY OWNER EMAIT. NOONCSS
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OWNER'S REPRES VE/RENTAL AGENT
REPRESENTATIVE P NE
REQUIRED
REQUIRED 72q,-
R:PRE:!NTAI a ue/
I hereby acknowtedge that l hsve thoroughty reviewed and am tutty fami[iar with the fol.towing regutations:Town otYarmouth Chapter 108 - Rsntat Housing ByLw, Town of Yarmouth Chaptar i 04 -Anti_Noise Bylaw, Town ofYarmouthShort-Term Rentat Bytaw (if appticabts), M86sas husetts State Sanitary Code, Chapter ll _ Minimum Standards o, Fitness for HumanHabitation
These documents a
Yarmouth Heatth
re avaitabte for reference on the ofticiat rown ofYarmouth website and may atso be obtained upon request from theDepanment Furthermore, Iunderstsnd that I am required to notify ttre xeaitn oepanment in writing when Icoaserenting the proporty. Fsilure to do so may resutt in the impositron offines and/or tees.
QUESnONS: Phone #: 508-398-2231 Ex. 1240, Emait: rnrederberger@yarmouth. ma.us
APPLICANT SIGNATURE
DATE
-'
F APPLICABLE
TRASH REMOVAL BY
RENTAL OF:
NUMBER OF UNITS FOR RENT: