HomeMy WebLinkAbout184 South Sea Ave #27 paper applicationApplication tor 2024 Rental Registration
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@yarmouth. ma. us
skflF fne Town of Yarmouth 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
can you securely communicate with our team, but you'll also gain access to your important documents, the
ability to upload photos, and much morel This improved platform is designed to make your registration
experience smooth and efficient.
Smoke Detectors and Carbon Monoxide Detectors are Requiredl
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Carbon
Monoxide Detectors and verified that they are less than 10 years old: P/ease initial_
Contact the Euilding Departmenl regarding questions on type and localion prior lo purchasing-
httos //www varmouth.ma. us/DocumenlCenlerA/ieWl 1221lSmoke detector-location
. A non-refundableapplication feeor $80 pef UniUfgntal is required.
. Rental Certificates expire on December 3'l "t, 2024.
. lf NOT registering online, please make checks payable to: Town of Yannouh and rnail conpleted application &
payment to: Town of Yarmouth Health Department.. T4e Health Depaftment willcallto schedule an inspection it required, upon receipt of your application and fee.
Rental Property lnformation
All fields are re uired! lncom ete forms without a valid one # or email cannot be rocessed
Rental Property Address
t2?tgL L,tulln so.,
Rental Period:
Seasonal Short Termnnua less than 31 da S
Trash Removal by:
Owner Tenant
Rental of:
ex Condouse Du artment Room
Property Owner Name:
''{ A i s Ll S'+x Vt;'",/,fV lt g
a n rESSAdds
311 LtLt) qtq'3
requrr nmary one Alternate Phone No
6r1-so3-((iq
(required)E-mail Address
x',t4cL, u, go,-r*.rr."l
epresenncy enSAgenUAge Primary Phone No (required)E-mail Address
Furthermore. I understand I musl notify the Health Department in writing when I am no longer renting the property, or I may besubjecl to fines and tes.
sino-Prooram
Sign
IAT W
Rental Bylaw 0f appli
allof which are avail
cable) and the State Sanitary , Chapterable on our website. httos://ww*.v rmouth.ma.us 423/RentalHo
Yarmouth Short Term
for Human Habitation)
arT a!!
[,4 n m mu daStan ofrds F ne SS
Date
Revised: 10/2312023
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