HomeMy WebLinkAbout159 Highbank Road paper applicationApplication for 2024 Rental Registration
o-#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 communicate ',vith our team, but you'll also gain access tc ycur i,'nportant docurnents, the
ability to upload photos, and much morel This improved platform is designed to make your registralion
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 less than 10 years old: P/ease initial
Contact the Building Deparlment regarding questions on type and location prior to purchasing.
hllps://www.yarmouth ma.us/DOeutr]en@
Anon-refundable application fee of $80 per uniUrgntal 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 will calltoschedule an inspection if required, upon receipt of yourapplication and fee.
Rental Property lnformation
All fields are re ured! lncomplete lorms wlhod a valtd phone # or email cannot be rocessed
Rental Property Address:,.1 t ,A I
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Rental Period:
AnnualF Seasonal Short Term (less than 3'l davs)
Trash Removal by: /
owner tenant "l-
Rental of:
House_ Duplex_ Condo_ Apartment_ Room
Property Owner_Name:J;,,;hd:siir.Is^;, r\4 4 r
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Mailing Address:- ec5 -.1 Jf (>
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Alternatb Phone No (required)E-mailAddress: t
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""'Owner's RepreAgenVAgency tvlA
sentative/Rental Primary Phone No (required)E-mail Address
m no longer renting the property, or I may be
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Rental Bylaw (rf appl
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arrYarmouth Short Term
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Revised: 1 023
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS O26qr^
Telephone (508) 398-2231 , ext. 1240 <-//-
Fax (508) 7 60-3472
E-mail : epolite@yarmouth.ma.us
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