HomeMy WebLinkAbout12 Standish Way paper applicationApplication tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240 . . ,". . .
..Fax (508) 760-3472 '''l'i 'r -
rr, E-mail: epolite@yarmouth.ma.uswflF fne Town of Yarmouth is excited to announce that we've streamlined the online reglstration process to
make it more user-friendly than ever before! Simply visit https://varmouthma.oortal.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 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 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 Detectors/Carbon
Monoxide Detectors and verified that they are leis than 1O years old: P/ease initial RG
Contact lhe Building Department regarding questions on type and location prior to purchasing.
hltos://www varmouth ma us/DocumenlCenlerA/ieM1 1221lSmoke-detector-locatton
. A non-refundabte apptication fee or $80 pef UniUfental is required.
. Rental Certifcates expire on December 31"1, 2024.
' lf NOT registering online, please make checks payable to: Town of Yannouth and rnail completed applicatjon &
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) STANDIJU lln nnual SSeasonal,' Short Term less than 31
Rental Period
Trash Removal by:
Owner V' renant OUSE,Room,l rtCondo ADulex
Property Owner Name:
Robeel Gc-d Lrip &\2 w.yhen^ 02673Pcr: Bo;r
Mailing Address
Sot 3eo / 1/ {requr mary oone Altemate Phone No
N /L)
(required)E-mail Address
/a
ne SAgenUAgenc rese
v NPPrimary Phone (required)E mqrl Ad/4 dress
rtment in writing when I am no longer renting the property, or I may be
Date: 1, | , Lf gt'zs
I Bylaw
which a
alr
ards
n
-R"&dSign
taf
Yarmouth Short Term Renta (if applicable) and the A. State Sanitary inimum Standfor Human Habitation) allof site. hftos:/re available on our web 423/RentalHous.varmouth.ma.u
e chapte of Fitness-Prooram
o\,,1-l
I.ylql9l,lolg -l-r!-d_"rstand I musl notify the Heatth DepasuDlect to fines and tses.
Rental Property lnformation
All fields are re uired! lncom ete forms without a valid hone # or email cannot be rocessed
u P
ao(m
Revised: 10/2312023
D
Rental of:
B.qol@CoeeG0 F,ttfl*