HomeMy WebLinkAbout8 & 10 Pawkannawkut Dr. paper applicationApplication tor 2024 Renta! Registration
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Qarbon
Monoxide Deteclors and verified that they are lels than 1O years old: P/ease inittal V tContacl the Building Departmenl regarding queslions on type and location pnor to purchasrng.L
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/ varmouth ma us/DocumcntCenter/Vlew/ 1 1221lSrnoke-detector location
A non-refundableapplication feeof $80 pef UniUfgntal is required
Rental Certificates expire on December 31"', 2O24.
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 Deparlment willcallto schedule an inspection if required, upon receipt of yourapplication and fee.
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 021654
Telephone (5OB) 398-2231 , e\t. 1240
Fax (508) 760-3472
E-mail: epolite(@ya rmouth. ma. us I -'tutS
HEALTH DEPT
The Town of Yarmouth as excited to announce that we've streamlined the online registration process t
ake it more user-friendly than ever beforel Simply visit https://varmouthma. portal. openqov.com/ to get
arted. There, you can effortlessly create your account and conveniently pay the registration fee.
lsing this upg!'aded systern, yoH'll h?,.,e lh? louve!'tc c:'rgage urith us throughout the entiie process. Not oi'riy
n you securely communicate with our team, but you'll also gain access to your important documents, the
ility to upload photos, and much morel This improved platform is designed to make your registration
perience smooth and efficient.
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
Rental Property Address: S <hth YO-{-I.'\.U\
8! to ?o'^J\Eov\hc\vJhuf Dr (,-GhfB-|D* than 3.r days)easona
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Rental Period
An n ual
o*n",\.\s,t & renant LNnft \'
Trash Removal by
60,.,-\-0.House Apartment Room
Rental o
Property Owner Name
\*u Jho'+c1 Vo.,.Ivii.,rnr ftva ,\acd{r-9-\d , W.u!rt9
iilailing AdiESf
(requrred)Pn mary Pfione No
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Alternate Phone No (required)E-mail Address
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Owner's Representative/Rental
AgenVAgency Primary Phone No (required)E-mail Address
I have read and lam familiar with the Town of Yarmouth Chapter
Yarmouth Short Ferm Rental Bylaw (rf app[cable) and the MA
for Human Habitalion) allofwhich are available on our website
must notiiy the Health Department in writing when I am no longer renting the property, or I may be
r 104 Antr-Norse Bylaw Town of
l\4inimum Standards of Fitness
423lRentalHousino-Prooram
ap
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te
, I understand I
nes and fues
Sign
'08 Rental Hous ng Bylaw Ch
State Sanitary Code, Chapte
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Furthermo
subject to
Revised: 10/23/2023
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Date