HomeMy WebLinkAbout3 Arthur Lane paper applicationApplication tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , e\t. 1240
Fax (508) 7 60-3472
E-mail : epolite@yarmouth.ma.us
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.portal.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 ccmmunicate with our tearn, but you'll also gain access tc your important doeuments, the
ability to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
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Smoke Oetectors and Carbon Monoxide Detectors are Requiredl
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectq(s/Carbon
Monoxide Detectors and verifled that they are lels than 1O years old: Prease initia4fufu
Contact the Building Department regarding questions on type and localron prior to purchasing
hllosr//www.varmoulh ma.us/DocumenlCenler^/,ew/1 1221lSmoke-delector-locahon
A non-refundable application fee of $80 pef UniUfgntal is required.
Rental Certiflcates expire on December 31st, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and rnail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon rcceipt of your application and fee.
Rental Property lnformation
All fields are re uired! lncomplete torms without a valid phone # or email cannol be rocessed
Rental Property Address
,44 L t1.2
n nual Seasonal Short Term less than 31 da
Rental Period
OU rtmen RoomDUlex Condo
Trash Removal by
Tenant
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AddressNIatng
(requared)Primary
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PhohEIIo Alternate Phone No.(required)EJnail Address
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Owner's Representative/Rental
AgenUAgency Primary Phone No (required)E-mail Address
epartment in writing when I am no longer
Date: //' //
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I have read and larr familiar wth the TowhifYarmouth Short Term Rental Bylaw (if applicable) and tfor Human Habitation) all of which are avbilable on our
he A. State Sanita ryco Chapter lvlinimum Standa s of Fitnessbsite423
Furthermore .l understand I must nolify the Health Dsubject to lin d fu€s.
Sign
renting the property, or I may be
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Revised: 10/2312023
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Rental of:
Property Owner Name:
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