HomeMy WebLinkAbout82 Deb's Hill road paper application\
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231, ext. 1240
Fax (508) 760-3472
E-mail: epolite@ya rmouth. ma. us
The Town of Yarmouth is excited to announce that we've streamlined the online registration process
ake it more user-friendly than ever before! Simply visit https://varmouthma. portal.openqov.com/ to get
rted. There, you can effortlessly create your account and conveniently pay the registration fee
sing this upgraded system, you'll have the power to engage with us throughout the entire process. Not only
you securely cornmunicate with our team, but you'll also gain access to your tmportant documents, the
bility to upload photos, and much morel This improved platform is designed to make your registration
xperience smooth and efficient.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detecto
Monoxide Detectors and verified that they are less than 10 y
Contact lhe Building Department regarding questions on lype and location prior to p
rbon
enlerA/iew/1 1 221 /Smoke-detecto.localionhltos //wwwvarmouth ma.us/DocumenlC
ears old:
A non-refundabte apptication fee of $80 pef Uniufgntal is required
Rental Certificates expire on December 31"r, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
plication and feeThe Health Depaitnent willcallto schedule atl inspection if required, upon receipt of yout a
Rental Property lnformation
All helds are re uired! lncom lete forms without a valid hone # or email cannot be lrocessed
Rental Property Add ress hl ual. Seasonal Short Term (less than 31 days)Ann
Rental Period
Trash Removal by:
Owner Tsnant V
Rental of:
\r,House Duplex_Condo\Apartment Room
)L
Mailing Address,- n'l h V l; ''\FrPPB(*,-t-An att6-'Ir$
(required)Primary Phone Ilo.
9..lY -..-|33 rrlcl-i Alternate Phone No (required)E-mail Address
da LL A R'5 @' c* kPiVT,rYt e
Owner's Representative/Rental
AgenUAgency Primary Phone No (required)E-mail Address
Furthermole, I understand I must notiry the Health Department in writing when I am no longer renting the property, or I may besublect to flnes and bes.
L l?,.
I have read and lam famili
Yarmouth Short Term Re
for Human Habitation) all
ap
t\,1
pBylae,Csod (
Sign
ter lO4 Anil-NoEE Brlaw Tarrith tfre Torn-fYarmauth eh ter'108 Rental Housln w Cha
(if applicable) and thenial Bylaw
of which a
A. State Sanita ryC hapter lvlinimum Standards of Fitness
423/Rental Housinq-Prooramre available on ourwebsite httDs://www.varmouth.ma.us
Date: t\t,r'>.-L-
Revised:3/2423
Application for 2O24 Rental Registration
Property Owner Name;
I