HomeMy WebLinkAbout1020 West Yarmouth Road paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1145 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 124O
Fax (508) 760-3472 'E-mail: epolite@ya rmouth. ma. us
EK
'ifF fne Town of Yarmouth is excited to announce that we've streamlined the online registration process to
make it more user-friendly than ever beforel Simply visit httos://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 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 Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectp/s/Carbon
Monoxide Detectors and verified that they are leis than 10 years old: P/ease innial\,!*
Contact the Building Department regarding questiorE on type and location prior to purchasing.
htlps://www varmoulh ma us/DocLrmentCenlerA/ieW1 1221lSmoke-deleclor-locatron
A non-refundable apptication feeof $80 per uniUrental is required.
Rental Certificates expire on December 31st, 2024.
lf NOT registering online, please make checks payable to: Town of YanrDuth and rnail conpleted application &
payment to: Town of Yarmouth Health Department.
The Health Depadment will callto schedule an inspection if required, upon receipt of yourapplication and fee.
Rental Property I nformation
All tields are Ltired! lncom ete forms without a valid hone # or email cannot be rocessed
Seasonal X Short Termn nual Sless than 3'1
Rro'rl-101.0 W tst 0"(N\r,,1"+h
ouse Du{e rtment Room
Rental of
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Trash Removal by
Owner Tenant_
Mailino Address:(o Boy" qlz,RPclr $ ttr NY tL't15Pro
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perty Owner Name
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(required)E-mail AddressPrimary Phone NoenSEreeSp
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I must notify the Health Oepartment in writing when I am no longer renting the property' or I may be
423/Re ntalHousino-P roo ra m
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Rental Property Address:Rental Period:
Alternate Phone No.
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