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Application for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1,I46 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epolite@yarmouth. ma. usw
'l(\ fne Town of Yarmouth is excited to announce that we've streamlined the online registration process to
make it more user-friendly than ever beforel Simply visit https://va rmouthma. 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 Detectgrslg
Monoxide Detectors and verified that they are leis than 1O years old. Please initial WContact lhe Building Department regarding questions on type and location prior to purchasing -
hltos://www.yarmouth ma us/DocumentOenler^/lew/1 '1221lSmoke-deleclor-location
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A non-refundableapplication fee of $80 pef UniUfental is required.
Rental Certificates expire on December 31"1, 2024.
lf NOT registering online, please make checks payable to: Town of YanrDuh and rnail completed applic€tion &
payment to: Town of Yarmouth Health Department.
Tha Health Depaiment willcallto schedule an inspection if required, upon receipl of your application and fee.
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid rcne # or email cannot be rocessed
nnual Short Term less than 3'1 da S
Rental
Seasonal
Rental
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rooertv Address:
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Trash Removal by:
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Rental of
Property Owner Name:
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Mailing Address: , \
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Alternate Phone No (required)E-mail Address:
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Prirnary Phone No (required)E-mail Address
Furlhermore. I understand I must notiry the Health Department in writing when I am no longer renting the property, or I may besubject to fines and fres.
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ar
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-Prooram
Yarmoulh Short lerm Rental Bylaw (rf dpplfor Human Habitation) att of whicn aie avbi
icable)and the State Sanitary
site. https:/lable on our web 423/RentalHousin,varmouth.ma.u, Chapter SE
IV n m mU taS dn rda ofS F neSS
Sign Date: ,l
Revised: 10/23120
(requrred)Primary Phone No.
Application for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTSPZCCI
Telephone (508) 398-2231 , ext. 1240
Fax (508) 7 60-3472
E-mail : epolite@yarmouth.ma.us
ined istration
fri it https ://varmouthma, Dortal,openoov.com/
nd conveniently pay the registration fee.
entire
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A non-refundabte apptication fee of $80 pef UniUfental is required.
Rental Certificates expire on December 31sr, 2024.
lf NOT registering online, please makechecks payable to: Town of Yarnouth and rnail conpleted application &
payment to: Town ot Yarmouth Health Department,
The Health D ment willcallto schedule an and feercceiptofif required,
All fields are re uired! lncom ete forms without a valid hone # or email cannot be roce-ssedRental Property Add ress:
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tat PZod
t t/snon
Ren
Annual Seasona Term (less than 31 days)
orrn r-4 Tenant
Trash Removal by
nor."4u RoomtrtmenCondoplex
Rental of:
rty Owner Name:
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Prope
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Mailing Address:
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red)E-mail Address:
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5,y$!3i11f;:'J"g,fo"rstand I must notry the Health oepartment in wriling when r am no ronger renling rhe propedy, or r
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State Sanitary , Chapter inimum Stand a ols Fitness
arI'aYrmouth Short ermT dan theHformanUHabitationonUTwebsite
may be
ll 3Sign:Date luRevised
Sm
Smoke
Detectors Carbon Monoxide Detec'tors are Requireo
Rental Property lnformation