HomeMy WebLinkAbout1 Ivanhoe Road 2026 Rental ApplicationRENTALS
ln accordance with I OS CMR 410.560, and exccpt 8s provided in I OS CMR 410.560(C) (to. BULK items) , the owner oiany residencecontainingtwo or moro dwsllingunits, a roomi]{ house, homsl,ess shslter, or manulecturod housing community, shatt beresponsiblc for and pay for the finat cottection and uttimat€ disposaI ot retuse
THE OWNER, CERTIFY THAT MY RENTAL PROPERry ffi16H oNurrys rwo oR MoRE DWELLtNc UNtT{
f4R 410-560 (c) AND 105 QMR 410.560
frrr.,o*".
(4)(E)
oWNER tNtnALs
INCOM
RENTAL PROPERTY ADDRESSIOa.
PROPE OWNER NAME/l.t/
PROPERW OWNER MAILING ADDRESS
PROPERry OWNER PHONE #
77t-ror-?93{
PROPERTY OWNER EMAIL AODRESS
w'THOUT D PHONE # OR EMAIIWLL be pnocesseo
ALTERNATIVE PHONE #
OWNER'S REPRESE E/RENTAL AGENT
REPRESENTATIVE P NE
REQUIRED
REPRESE E EMAIL A RESS
RENTAL PERIOD
TRASH REMOVAL BY:
NG-TERMA(EAR.ROUND _SHORT.TERMMEEKLY
72q--s/4cazzaslzef
#*",
PAID PICK-UP TRASH COMPANY NAME
RENTAL OF
*4oUSE tr DUPLEX ]CONDO
=APARTMENT -ROOM
NUMBER oF uNrrs FoR REN* I
I hereby acknowtedgo that lhave thoroughly reviewed and am fultyfamiLiar whh the fol.towing regutations:
Town of Yarmouth Chaptor 108 - R.ntal Housing Byhw, Town ot YarmoGh Chaptsr 104 - Anti-Nois€ BytEw, Town of yarmouth
Short-Term Rental By[aw (if appl.icabte), Maasachusetts State Sanitary Code, Chapter ll-Minimum Standards of Fitness forHuman
Habitation
These documents are avaitabte for teference on the officiat Town of Ya rn'ro uth website and may atso be obtarned upon request from the
Yarmouth Heal.th Depanment. Furthermore, I understand that I am required to notify the Heatth Depanment in writing when I cease
rentingths property. Faiture to do so may resutt,n the imposition of fines and/orlees.
QUESTIONS: Phone #: 508-398-2231 Ex. 1240, Emait: rn ederberger@yarmouth.ma.LLS
APPLICANI SIGNATURE DATE
WITH MA STATE SANITARY CODE 105 C
I
REQUIRED C.c*<*-
. OWNER
IF APPLICABLE