HomeMy WebLinkAbout7 Courtland Way paper applicationApplication lor 2O24 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
&<
'ifF fne Town of Yarmouth is excited to announce that we've streamlined the online registration process tomakeitmoreuser.friendlythaneverbefore!Simplyvisit@toget
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 more! This improved platform is designed to make your regiskation
experience smooth and efficient.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectorlrcarbon
Monoxide Detectors and verified that they are less than 10 years old: P/ease initial {
Contact lhe Building Departmenl regarding questions on type and localron prior lo purchas_rBg
htlps //www varmouth ma us/DocumenlCenler^/leu/11221lSmoke.deleclor.localr0n
A non-refundableapplication feeof $80 per uniUrental is required.
Rental Certificates expire on December 31"r, 2024.
lf NOT registering online, please make checks payable to: Town of YanrDuth and rnail corpleted application &
payment to: Town of Yarmouth Heallh Department.
The Health Department willcallto schedule an inspection if required, upon receipt of yourapplication and fee.
Rental Property lnformation
All fields are re uired! lncom lete forms wthout a valid rcne # or email cannot be rocessed
a0lt
Rental Period:
sonal Short Termn ual less than 31 da S
R
7 d ut ,,,
P SSentaroreAdd
Trash Removal by:
Owner Tenant /-RoomousertmenDulex
Rental of
ondo
(D )vu," ?,
P
at
perty Owner Name Mailing Address
18 5/o",Ct,rrAp fu,J,",,fl..
(required)E-mail Address
A L. coi1)!r,ebo ol 6S
requ mary one
2t)
o Alternate Phone No
Primary Phone No
SE
Date t- )7-2 5
423/RentalHoState Sanitary
. httDs://www.
Co ptera
sino-Prooramrmouth.maYarmouth Shorl Term Rental Bylaw (rf applicable) and the
for Human Habitation) all of which are available on our website
ma benmorenntitheroeorntrtmenritinhenaonUndderstamSunothHeaeDeIthpprtysngesrtrmhereoUFifvpa
cte uto en aS dn fues.uSbj
m dan S Fof SneSN,4 n m U taS
Sign
liar with tarr Bvlaw,
e,'Cha
3/2023
(required)E-mail Address:Owner S RePresentatrve/Rental
AgenUAgency
