HomeMy WebLinkAbout45 Headwaters Drive paper applicationApplication tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , exf. 1240
Fax (508) 760-3472
E-mail: epolite@ya rmouth. ma.uswIFF rne Town of Yarmourh 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.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
cen ycu securely communicate with our team, but you'll also Eain access to youi impoiiant 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 1O years old: P/ease initiall0
Conlacl the Building Departmenl regarding queslions on type and location prior to purchasing.
moke-detector-locationhllos //www varmolllh ma us/Documentcenletlviewlll22l lS
A non-refundable apptication feeof $80 pef UniUfental is required
Rental Certificates expire on December 31sr, 2024
lf NOT registering online, please make checks payable to: Town of Yarmoljth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcall to schedule an inspection if required, upon receipt of yourapplication and fee
Rental Propefi lnformation
All fields are re(uired! lncom )lete forms without a valid hone # or email cannot be rocessed
Rental Property Address
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Rental Period:
Seasonal Short Termnnua less than 31 da S
Trash Removal by
Owner Tenan H ouse RoomDuadment
Renta of
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Property Owner Name
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Mailing Address
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requi 1mary one o Alternate Phone No ( req u ired )E-ma il Address
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Primary Phone No (required)E-mail Address
hermole, I understand I must notty the Health Department in wriling when I am no longer renting the property, or I may beecl to fines and bes
Date
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Sign
armouth hapler ous n ha(if applicable) and the MA. State Sanita rycode, Chapter i,4 in im uchare available on our website. https:i/www.varmouth.ma.u
Yarmouth Shorl Term Rental Bv
for Human Habrlalron) all of whi
ave re an arn mil o Str-now oevntaStdnrdsao,1F SneS
ulaala=
423/RentalHousino-Prooram
Revised: 10/23/2023
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