HomeMy WebLinkAbout34-36 River Street paper application-hsg ?clte6[.^le til?oe tDf 3o arl
Application for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTI}.Oz8€4
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail : epolite@yarmouth.ma.us Nov 15 2023w?T ff,e 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.openoov.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 Dower 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 documents, the
ability to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke
lVlonoxide Detectors and verifled that they are less than 10 years old: Piease
Contact lhe Building Deparlment regarding questions on type and location prior to pu.chas
hllps //www yarmouth ma us/DocumenlCenlerA/ieW1 1221i Srnoke-deteclor-locatjon
rbon
tn
A non-refundable application fee of $80 pef UniUfental is required.
Rental Certificates expire on December 31"t, 2024.
lf NOT registering online, please make checks payable to: Town of YarrDut'r and rnail completed applic€tion &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of yourapplication and fee
Rental Property Address
tve'r9|3tt (Lt,tr3t4
Rental Period
ownerjK Tenant
Trash Removal by
Property Owner Name
4_-Saa-4+tl r) Q-
^ azuutA( ,rLL.lLO--(-+
Mailing Address
\vev
il,U red mEa Adreq l1'y:Lers'+cr(-<)+{'1ts$
requr mary one o Alternate Phone No
NIR
eprese
ncyAgenVAgenerS Primary Phone No (required)E-mai I Address
the Health Department in writing when I am no longer renting the property, or I may be
pter
ma.
rE
odI Bylaw
which a
ar af aw,
C
e
Yarmouth Short Term Renta (if applicable)and the e, Cha um Standa of Fitnessfor Human Habitation) allof re available on ourwebsite varmo ntalHousino-qram
n m
423tR
Furthermo
subiect to n, I understand I must notifves and Aes
rq .zDateSign
All fields are re uired! lncom lete forms without a valid hone # or email cannot be essed
Co*n
Revised: 1 3t2023
Rental Property Information
Annual- Seasonal Short Term (less than 31 davs)$
Rental of:Co-r1(L59-
House Duplex_Condo Apartment Room
S
%ozuetylgl