HomeMy WebLinkAbout15 Baxter Ave (downstairs) paper applicationApplication for 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 r " t il I
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'iliF 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.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 more! 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 Detectors/Carbon
Monoxide Detectors and verified that they are less than 10 years old: P/ease initial_
Contact the Building Department regardjng queslions on type and location prio. to purchasing.
htlps //www yarmouth ma us/DocumentCenterNieMl 1221lSmoke-deleclor-location
A non-refundable application fee of $80 pef UniUfental is required.
Rental Certificates expire on December 31sr, 2024.
lf NOT registering online, please make checks payable to: Town of Yannouth and rnail conpleted application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of yourapplication and fee.
Rental Property lnformation
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Renta! Property Address
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Rental Period:
Annual ideasonal Short Term (less than 3'l days)
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Owner Tenanl W ndo Apartment Room/co
Rental of:
House Duplex
Propertv Owner Name
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[/ailing Address
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Alternate Phone No
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(required)E-mdil Address
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OWner's Representative/Rental
AgenUAgency Primary Phone No / lrequy'ed)E-mail Address
I have read and larr famliar with the Town of Yanrputrr CfEpter 108 Rental l-lousin-q Ry'aw, ClEpter 104 Antr-Nloise Ey'a,', To/',rr of
Yarmouth Short Term Renlal Bylaw (rf applicable) and the MA State Sanitary Code. Chapler ll (Minimum Standards of Frlness
forHUmanHabitation)allofwhichareaVailableonourWebsite,
I must notify the Health Department in writing when I am no longer renting the property, or I may be
Date
tlqf,s'Ot'a
Sign
Furthermore. I understand
subject to fin'es and bes.
Revised: 10/2312023