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HomeMy WebLinkAbout36 Huddson Road paper applicationApplication for 2024 Rental Registration TOWN OF YARMOUTH Health Oepartment 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664Telephone (508) 398-2231 , ext. 1240 Fax (5OB) 760-3472 E-mail: epolite@yarmouth. ma. us Nnu -f https://varmouthma.portal.openqov.com/ feeregistra with designed hT Teo ofn ar tsmouth excited ato non nu thace we SI've reaml thned oen tne nto S oregistratproces itake more ser nneu tha evenI before S m vtsitdlyplv to getrtedaTreheUncaeffortlcrealeIyontaccoundcoesslynvenentlyouthentioYpay SU n h uS raded m h'ils ve thepg to n withsysteyou US thro hpowerout enlitheregage srOCCS otNu9p only SEOUncure comm nuicate ourv aem utbv a aarn toccessyou n documes tSn heyourmporta Ulo d hotos nda uchmtyploa more Thp roved IS tolmp make rplatform stra tonyouregsmoothncendnt.efficiepene Owners: I have ensured the bafteries are changed, have testedMonoxide Detectors and veri{ied that they are less than 10 years Contact lhe Bulding Dcpartmenl ,egarding questtorE ofl type and ALL Smoke O"t""torvc6!f localioo prior lo purchasing. Anon-refundabte apptication feeof $80 pef UniUfental is required. Rental Certificates expire on Decamber 3i"r, 2024. lf NOT registering online, please make checks payable to: Town dYarEulh and mail completed application &paymenl to: Town of Yarmoulh Health Departrnent- raeipt of yourapplicalion and feeThe Health Depadment wilt catl to schedule an insryclion if reguired. upon Rental Property Address utr0'/ RD W Varmo nrr 3(1 / Rental ,.J"u".on", Period: Short TermAnn (less than 31 days) Rental of: orpt"r/conooHouse ApartmentProperty Owner Name ch9 Virirr It8 t0AYSrbE Rp t-{*<uuiclt mS o Mailing Address 7.1^E% requr nmary one Altemate Phone No (required)E-mail Address Lws c0M AgenUAg S SErep ency Primary Phone No (required )E-mail Acrdress notifr/ the Health Department in writing when I am no bnger renting the property, or I may be Date ( 423/RentalHousinq-Pro qram Sign armouth,ma.us ChapterRental Bvlaw ) all ot which a apdcable) and available on ou Ya Sh Trmouthorterm if eth tas SatenitaryHuformanHaitatiobnrehSIwebtep ,lunderstandlmuss and TlawvuMinimmSrdtandaofSFitnESS I have read an am Furthesubject Rental Property lnformation vr Revised: 1 '| Trash Owner Room