HomeMy WebLinkAbout11 Hudson Road paper applicationApplication for 2024 Rental Registration
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Carbon
IVlonoxide Detectors and verified that they are leis than 1O years old. P/ease initiat l\P
Contact the Building Deparlmenl regarding questions on type and tocatron prior to purchasiig
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A non-refundabte apptication feeof $80 pef UniUfental is requrred
Rental Cedificates expire on December 31.r. 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed applicstron &
payment to: Town of Yarmouth Health Department.
ftment will callto schedule an inspection if required, u'poD receipt of yout application and feeThe Health De
Rental Property Address
ft4Jr""-,, (a /{u"ton"t shnnual Sless than 31 dort Term
Rental Period
Trash Removal by:
Owner Tenant ,4"o use artmen Roomlex Condo
Rental of:
Property Owner Name
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lvlailing Address
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Alternate Phone No
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(required)-mail Address
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en anerSAgent/Ag encyresen Primary Phone No (required)E dd ress
Furthermole, I understand I must notifi/ the Health Department in writing when I am no longer renting the property, or I may besubject to fines and bes.
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Sign T3Date: l\
Rental Property lnformation
All fields are re uiredl lncom lete forms without a valid hone # or email cannot be rocessed
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Revised: 10/2
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TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. '124O
Fax (508) 760-3472
E-mail: epolite@ya rmouth.ma. us
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lF fne Town of Yarmouth is excited to announce that we've streamlined the online registration process t(
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
oan you securely cornfiunicate with our team, but you'll also gain acccss to your important documents, the
ability to upload photos, and much morel This improved platform is designed to make your registration
-.xperience smooth and efficient.
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