HomeMy WebLinkAbout24 Park Street paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02564
Telephone (5O8) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epolite@yarmouth. ma. uswf fn" 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.ooenqov.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 yoll securely cornmunicate 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
experaence smooth and efficient.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke DetectnrF/Carbon
l\ilonoxide Detectors and verified that they are less than 1O years old: P/ease initat KAA
Contact the Building Department regarding questions on type and locatton pnor to purchasrnq-
httosl/www.varmouth ma. us/DmumenlC nter^/ieW1 1221 /Smoke-deleclor localion
A non-refundabte apptication feeof $80 pef uniUfgntal is requrred
Rental Certificates expire on December 31"r. 2024.
lf NOT registering online, please make checks payable to. Town of YarmoLrth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaiment will callto schedule an inspectiotl if required, upon receipt of yourapplication and fee
Rental P roperty lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
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Rental Property Address Rental Period:_----------i-,- rAAnnual Seasonal X Short Term (less than 31 davs)
Tenant (('o*neT
Trash Removal by
Housq\l Duplex Condo Apartment Room
\--Rentbfof
ProEefty 6wner Name:
Laa.iq A.Yt?N-;ll fetai{ifl'g Address, 25 W .
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5*-|L-- - , N.r loq,bt(requrred)Pnmary Phone Nog+5-7*7- 31q?gL+t-5\q-o)20Alternate Phone No ( requ ired )E -mail Address
\ ^v,< c- ei \\ 74_@ 3
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Owner's Representative/RentalAgent/Agency A^A,.^ e .^1
3<-a-o,.+ V ; \lora Q.-l+n
Primary Phone No
5oz-3Lq-qq61
(required)E-mail Address
ar.. A-'-J @ s'^g"''tv'\l^7ev
I have read and lam fuHr|ar wrth the [dwn of Yarmouth Chaoter
Yarmouth Short Term Rental Bylaw f apphcable) and the IhA
for Human Habitatron) all of whrch are available on our webste
Furthermore, I understand I must notify the Health Department in writing when I am no longer renting the property, or I may be
subject to fines and bes.
'108 Rental Housing Bylaw,
State Sanitary Code, Chahtlos://www varmolrlh
Sign
Cha 104 Anti-Noise Bylaw
rnrmum Standards of
Town of
pter Fitness423/RentalHousino-Proqramma.u
Date: ll f "/r" u
3,
Revised: 10/2312023
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