HomeMy WebLinkAbout248 Camp Street I4 2026 Rental Applicationln accorda
conta
nce with 105 cMR 410'560, and rxccpt a! provid.d in l os cMR 41o.sso(c) (ror BULK itoms) , the owner of any resrdenceiningtwo or more dwetlinguntts, a rooming house, hometess sheltsr, or mEnulbcturod housing community, shatt boresponsibla tor and pay for the final, cottection and uttimate ditpolal o, refuse.
I, THE OWNER, CERTIFY THAT MY RENTAI PROPERry WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCEWITH MA STATE SANITARY CODE 105 CMR 410.560 (C) AND tos cMR410.560 (4)(E)
OWNER INITIALS
RENTAL PROPERW ADDRESS
ad de-/qPROPERry OWNER NAME
.VZrz C/,+c.l<asf /f
PROPERTY OWNER MAILING ADDRESS
ATTERNATIVE PHONE #
PROPERTY OWNER EVAIL. AOORESS
OWNER'S REPRESENTATIVE/RENTAL AGENT
APPLICABLE
REPRESENTATIVE ONE
REQUIRED
PAID PICK-UP TRASH COMPANY NAME:
ER tr TENANT
RENTALS - RE
PROCESSEDwll.L li ,iOTAEINCOMPLETfVALID
RE]TTAL
Aw'THOUT P NHO #E OR
PROPERTY OWNER PHONE #' -/ar-J62-22 /o
e/4cezzca;4ze /
EMAIL A ESSRERRPE
REQUIRED
G-TERM/YEAR.ROUND fSHORT.TERM/WEEKLY
RENTAL PERIOD
RENTAL OF:
trHOUSE tr DUPLEX d^oo tr A,ARTMENT tr RooM
NUMBER OF UNITS FOR RENT
I hereby acknowtedge that lhave thoroughl.y reviewed and amful.ty famitiar with the fottowing regutationsTown of Yarmouth Chapt6r 108 -Ront l Houing Bylaw, Town of Yarmouth Ch+t r 104-Anti-NoiEe Bylaw, Town of yarmouth
Short-Term Rentat ByLaw (il appLicabte), Massachusetts State Sanitary Code, Chaptor ll-Minimum Standards of Fitness forHuman
H6bit8tion
These documents are available tor reference on the otficial rown of Yarmouth website and may stso be obtained upon request trom theYarmouth Heatth Department. Funhermore, I understand that I am required to notify the H€;tth Depanment in writing when I ceaserentingthe property. Faiture to do so may resutt in the impositlon offines and/or fees.
OUESTIONS: Phone#: SO8-S9B-2231 Ex. 1240, Emait: rniederbergerG:yarmouth. ma=us
APPLICANT SIGNATURE
DATE
5
TRASH REMOVAL BY
--4ffi2
/