HomeMy WebLinkAbout38 Wendward Way paper applicationApplication for 2024 Rental Registration
Health Department1146 RourE 28, sourH vanu6urx, MASSAcHUSETTS 02664Tetephone (SO8) 398_2231 , ext. 1240Fax (s0B) t6O_3472
E_mail: epolite@yarmouth.ma.us
TOW N OF YARMOUTH
r-
atfo
Th Te nOW Yof rmo uth ex ited o a nn uonce hatekitmoreufriendnhareveYbeforeSmtsitpvrtedThereuoncartleffovslcreateovtuacucovantnhSUsedradpsmuosystehavevthopoweren iths us thag oh thutuo ntirougre OCESSv NcommnUp ootnsecui'eiy ith oU vmauutLiaSoatyoi1caSSsoorrlbiovdrtouimportacaodumentstyhototlrplapndmUCmhoreThSmrovedprmpdnedomanskeceoupeSMoothavstraotindnceffrteregn
Detectors/C
{.;'purchasingtype
Smoke onoxide DetectorsDetectorJand Carbon M are Required!Owners: I have ensured the batteries are changed, have tested ALL SmokeMonoxide Detectors arbonand verified that they are less than 1O years old.Contact the Building Department regardi n9 queslions on and locatlon prior to
12
A non-refundabte apptication feeoi $g0
Rentai Certificates expire on December
per uniurent?l is required
31.1.2024.
The ealt call red,ap
oNT ste nnreg on nes amp ckehecks a abtpe to Tv Yofarmouth and ma com eemnt ed aTtopap caowofnvti noaYpp &m uo h Hea h De rtm nepa
De ntttnlepa to sched e onspecti teq at recep ofiptyou ati'plic aon dl1feeA fields ar,
Rental Pro[erty lnformationereuired! Incom ete fonns v/ithout a vali hone # or email cannot be ssedd
,/)*
Rental Property Address
nn ual less than 31da
Rental Period
Seasonal
Owner Tenant
Trash RGmoval by
ouse
Rental o
Du EX Condo artment Roomerty Ownei meP
ing Address
/(-I kI\)Altern ate Phone No (required)E lAddress
nereqty o
2J ')o.
ennSnepresent/encAgAgv nmary Phone No (required)E -mail Address
t29--
I must notify the Health Department in wrjting when I am no longer renting the property, or I
Date
Rental Bvlawallofwhich a
e
ble ap
M o e
-P
Sign
ve re an am mt af own o armouthYarmouthShort Term (if applica ) and thefor Human A. State SHabitation)a nita e, Chare available rnimum Standaon our website. h rds of FitnessIH
may be
USo
ry pter
rSFurthermore, I undesubJect to fines and
Revised: 1 O/2
^t