HomeMy WebLinkAbout24 Raymond Ave paper applicationApplication for 2O24 Rental Registration
TOWN OF YARMOUTH
Health Department,I,I46 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02
Telephone (5OB) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epolite@yarmouth. ma. us
The 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.openoov.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 ourteam, but you'll alsc gain access tc your impcrtant documents, the
ability to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
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AL]HDEP
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectqrslcarbon
Monoxide Detectors and verified that they are less than 1O years old: P/ease initial fb
Contact the Euilding Department regarding questions on type and location prior to purchasing.
terA/reW 1 1 221lSmoke.detector-locattonhttos://www.varmouth.ma.us/Documenl
A non-refundabte apptication feeof $80 pef UniUfgntal is required
Rental Ce,lificates expire on December 31s'. 2024.
lf NOT registering online, please make checks payable tor Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedL e an inspection if required, upon receipt of your application and fee
Rental P roperty lnformation
All fields are rec uired! lr)com lete forms withoul a valid )hone # or email cannot be rocessed
Rental Property Address
3h ?-aw+ounL Hve 3 Yoruro nnual s than 31 da SSeasonalShort Term
Rental Period
Trash Removal by:
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rty NameOwne 5Add
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Alternate Phone No (required)E-mail Address:
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Owner's Representative/RenlalAgenUAgency Primary Phone No (required)E-mail Address
fy the Health Department in writing when I am no longer renting the property, or I may be
r?.r loH lrczuaDale
I have read and lam famili
Yarmouth Short Term Re
for Human Habitation) all
lO4Anii-NoGtBtEw. To#-oF
inimum Standariis of Fitness
apter
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Furthermore, I unde
subject to fines and
rstand I must noti
Sign
108 Rental Housiar with the Town ofYarmouth Ch ng Bylaw, Cha
(if applicable) and thental Bylaw
of whrch a
State Sanitary Code, Chapter
e on our website. httos://wwr /.varmouth.ma.ure availabl 423lRentalHousi no-Prooram
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Revisedr 10/2
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