HomeMy WebLinkAbout6 Cedar Street paper application,l .\;Application for 2024 Rental Regi stration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (5OB) 398-2231 , ext. 1240
Fax (508) 7 60-3472
E-mail: epolite@yarmouth. ma. us
ility to upload photos, and much more! This improved platform is designed to make your registrationperience smooth and efficient.
httDS://varmouthma.Dortal.ooenoov-com/
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Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners. I have ensured the batteries are changed, have tested ALL Smoke Dete
Monoxide Detectors and verified that they are less than 1O y
Contact lhe Euilding Departmenl regarding questions on type and location prior to purchasi
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armoLlth ma.us/D m 11221lsmo
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A non-refundabteapplication fee of $80 pef UniUfental is requtred
Rental Certificates expire on December 31'r. 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
paymenl lo: Town of Yarmouth Health Depa(ment.
The Health Depaftment will call lo schedule an inspection if re uired, upon receipt of your application and fee
Rental Property I nformation
All fields are re uired! lncom lete forms withoul a valid hone # or email cannot be rocessed
Rental Property Address
6 Cudqr t9-
Rental Periodi
,/Seasonat/Snort Term (less than 31 days)Annual
Trash Remov
O*n", /
al by:
Tenant---ffroMU5
Rental of:
House y'Duolex Condo Apartment Room
Property Owner Name:
rtrqinia A. hary -Wot rrK N,,c.E;tKtlyc
c ,otgo?Ounnn,<ctll llA
Mailing Address
(requreb)Pnmary Phone Nb
1n- 5?a-,1aa b
Alternate Phone No
7yt- 908 -? /bb
(required)E-mail Address:
vhb/o+] a. uuiz6n, n*
Primary Phone No ( requi red)E-r;-ail AddressOwner's Representative/Rental
Agent/Agency
I have read andT familiar with the Town of Yarmouth
Yarmouth Short ferm Rental Bylaw (if applicable) and
for Human Habitation) all of whtch are available on ou
o longer reniing the property, or I may be
Chapter 108 Rental Housing Bylaw, Ch
the MA State Sanrtary Code. Chaple
r websrte httos ://www,varmouth.ma
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D te
ter 104 Anti-Noise Bylaw, Town of
Minimum Standards of Fitnessousino-ProoramRen.us 23t ta lH
Furthermo UNderstan
subject es and €es
tlSign q ),A3
d I must notify the Health Department in writing when I am n
Revrsed: 1