HomeMy WebLinkAbout12 Squirrel Run 2026 Rental ApplicationNENTALS - REF
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ln accorda
conta
nce with'105 cMR 410'550' and exccpt 8s providod in 1os cMR 410.s60(c) (ior gul( items) , the owner of any residenceiningtwo or moro du,alr,ina units' a rooming hous8, hometa$ sr,"r*i, "r a"nrt*,ured housing community, Ehart bcr€sponEibla tor and payforthe final collcction and uttimat. dirpo$t of rcfuse.
TAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE0.560 (c) AND .t 05 cMR 410.560 {4)(E).<- //.)frOWNER INITIALS
RETTAL INFO
INCOM
RE NTAL PROPERTY ADDRESS
PROPERry NAM
w:rxour n vauo pxotrt *OR EMAIL.WILL I'OT BE PROCESSED
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PROPERTY OWNER MAILING ADDRESS
PRO PERW OWNER PHONE #
REQUTRED ?l Q-0 v
PRO PERTY OWNER EMAIL ADDRESS
ALTERNATIVE PHONE #
a
F APPLICAELE
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OWNER'S PRESEN RENTAL AGENT
Q *la, co:v,.1-
REQUIRED
REPRESENTATIVE P NE
REPRESE E EMAIL AD RESS
72q-Azcazza;4ze/
RENTAL PERIOD
TRASH REMOVAL BY:
NG-TERM/YEAR.ROUND :SHORT.TERMAVEEKLY
tr OWNER arler,nr.tr
RENTAL OF odu,E trDUPLEX :CONDO ' APARTMENT trROOM
NUMBER OF UNITS FOR RENt
I hereby acknowledge that lhave thoroughLy reviewed and am futU famitiar with the foltowing regutations:Town ofYarmouth Chapter 108 - Rantal. Housing By[.w, Town of Yarmouth Chaptor 1Oa - Anti-Nois€ Bytaw, Town of yarmouth
Short-Term Rentat Bylaw (if appticabte), MassachuEctts State Sanitary Code, Chapter ll - Minimum Standards of Fitness lor Human
Habita on
These documents are availabte for refcrrnce on the ofticialTown ofYarmouth website and may also be obtained upon request from theYarmouth Heatth Department. Funhermore, I understand that I am required to notify the Heatth Depanment in writing when I c€ase
rentingthe property. Feiture to do so may resutt in the imposition otfines and/orfees,
QUESTIONS: Phone+ft 508-398-2231 Ex. 1240, Emait: rnrederberger@yarmourh. ma.us
APPLICANT SIGNATURE DATE
REQUIRED hI
IF APPLICABLE
REQUIRED
PAID PICK.UP TRASH COMPANY NAME:
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