HomeMy WebLinkAbout973 Route 28 paper applicationtx$gaW
Application tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
Fax (508) 7 60-3472
E-mail: epolite@yarmouth. ma. us
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-l*[-lfiF ft," 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://varm outhma. 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 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 less than 10 years old: P/ease initial
Contact lhe Building Department regarding questions on type and location prior to purchasing.
ntEellter/VieW 1 1 22 1 /Smoke-delectoclocationhttos://www varmoulh ma.us/Docume
A non-refundabteapplication fee of $80 pef UniUfgntal is required
Rental Certificates expire on December 31"r, 2024
lf NOT registering online, please make checks payable to Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Deparlment willcallto schedule an inS ction if requited, upon receipt of your application and fee
Rental Property lnformation
All fields are re uired! lncom lete forms withoul a valid hone # or email cannot be rocessed
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Rental Property Address
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Rental Period:
Seasonal Short Term (less than 31 days)qnnuaXxTrash Removal by
O+rner Tenant
Rental oi
uplex_ Condo_ Apartment Rocmrtr".)G
Property Owner Name:
Jlo,ro 44 ac K<,q-z,c l, d7, S.%,.rr*-/t a1,
Mailing Address?7r bL.(required)Primary Phone No
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Alternate Phone No
? /7-+72'?7Q)
(req u ired ) E -mail Address
5a--.a-,rlQ"ty-DcAnf*Owner's Representative/RentalAsent/Asencv
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Primary Phone No
,UK (required)E-mailAddress: I
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Date
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Sign
I have read and lam m tal own o arm nta ousrng
Yarmouth Short Term Renta I Bylaw (if applicable) and thewhich are available on our we
State Sanitary Code, Chapte
httos ://wwvi.varmouth.mafor Human Habitation) all of bsite
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Furthermore, I
subject to fines
ger renting the property, or I may beunderstand I must notify the Health Department in writing when I am no lon
423lRentalHousinq-Prooram
Revised: 10/2312023