HomeMy WebLinkAbout876 Route 6A paper applicationApplication tor 2O24 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 124O
Fax (508) 7 60-3472
rlz E-mail: epolite@ya rmouth, ma. usw
'lliF fne Town of Yarmouth is excited to announce that we've streamlined the online registration process to
make it more user-friendly than ever before! Simply visit https://varmouthma.portal.ooenoov.com/ to get
started. There, you can effortlessly create your account and conveniently pay the registration fee.
Using this upgraded system, you'll have the power to engage with us throughout the entire process. Not only
can you securely communicate with our team, but you'll also gain access to your important documefits, the
ability to upload photos, and much morel This improved platform is designed to make your registratron
experience smooth and efficient.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Carbon
Monoxide Detectors and verified that they are leis than 1O years old: P/ease initiat eAOl
Contact the Building Depanment regarding questions on type and location prior to purchasing.
httos J/www varmouth.ma.us/DocumenlCenler^/iew1'1 22 I /Smoke-deteclor-location
A non-refundabteapptication feeof $80 pef uniUfental is required.
Rental Certificates expire on December 31sr, 2024.
lf NOT registering online, please make checks payable to: Town of Yannouh and rnail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of yourapplication and fee.
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
Rental Property Address:
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Rental Period
Trash Removal by:
Owner- Tenant \Z ou artment RoomDUlex Condo
Rental of
Property Owner Name
Coro I auro Js Stuat 6.d l,.qie Y PTMailing Address
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Primary Phone No
5yff3:i'lfffiJ.T"'f rstand I must notifv the Health Department in writing when I am no longer renting the property, or I may be
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(required)E-mail Address:
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