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HomeMy WebLinkAbout64 Breezy Point Road paper applicationA Application for 2024 Rental Registration TOWN OF YARMOUTH Health Department 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTp+26,6+ The 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. oortal. openqov.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 communrcate wrth our team, but you'll also gain access to your important documents, the ability to upload photos, and much more! Thrs improved platform is designed to make your registration experience smooth and efficient. LJ# NtJv 1 3 2023 Telephone (508) 398-2231 , ext. 1240 Fax (508) 760-3472 E-mail: epolite@ya rmouth.ma. us Smoke Detectors and Carbon Monoxide Detectors are Requiredl Owners: I have ensured the batteries are changed, have tested ALL Smoke Detect Monoxide Detectors and verified that they are less than 10 y Contact the Euilding Department regarding questions on type and location prior to purchasi httos.//www.varmouth ma.us/DocumenlCenterNreW/ 1 1221lSmoke-delectoclocalion rs/Carbon ears old ng A non-refundabte application fee of $80 pef UniUfental is requrred Rental Certificates expire on December 31'1.2024 lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application & payment to: Town of Yarmouth Health Department. The Health Depaimenl will call to schedule an inspection if required, upon receipt ol yout applicalion and fee. Rental Property lnformation All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed Rental Period: Seasonal Short Term (less than 31 days)Annual64 pely Ad bfo*"+ Qd Rental Pro dress ZY norraAu plex Condo Apartment_ Room_ Rental of:rrash nernovat Oy: - I Owner Tenant 6.r+[,", lvlailino Address: ^ 'oiYrxJ!ruv IJ -) Property Owner Name {Yla)r,* WLnt ( req u ired ) E-mail Address e.p w iu " e Q. SItu y . I r. com AttCrnate Phone No (,t) -LBQ -c1€ fieq[r rE$P rirnary P hone No lc00-4\L-qrqb (required)E-mail Address ^lAfiy,v,,6 (d.,fs1v, I f . Larvt Primary Phone No /,ol -YlL5511b -EwneaEtrepresentative/Rental Agent/Agency Ll ,1,,'t Wtvr"< understand I must notify the Health oepartment in writing when I am no longer renting the proPerty, or I may be l,,r\44 LISrgn apter t4Antal Bylaw lof which afo OUrm ChaToneaamaVE n thedaabcaShohTrtrmReaYrmoupp OUn Sb ertAVreaabeoHitan10aHmUnaab Furthermore, I subject to fines and fees Revised 10/23i2023 Date