HomeMy WebLinkAbout300 Buck Island Road Unit 5G paper applicationApplication tor 2O24 Rental Registration
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Deteqtqrs/Carbon
Monoxide Detectors and verified that they are le-ss than 1O years old: P/ease initiatU*,--
Contact the Building Department regarding questions on type and locatron pnor lo purchasrnil:
hllos //www varmouth ma us/DocumentCenter^/ieM1 1221lSmoke-deteclor-location
A non-refundable application feeof $80 pef UniUfental is required.
Rental Certiflcates expire on December 31s!, 2024.
lf NOT registering online, please make checks payable to: Town of YanrDuh and nEil conpeted application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of yourapplication and fee
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (5OS) 398-2231 , ext. 124O RECEIVEI)
Fax (s08) 760-3472
E-mail: epolite@yarmouth.ma'us 'll I ' it)li
The Town of Yarmouth is excited to announce that we've streamlined the online registration process to
ake it more user-friendly than ever before! Simply visit https://va rmouthm a. portal.openqov.com/ to get
tarted. There, you can effortlessly create your account and conveniently pay the registration fee
sing this uDgraded system, Vou'll have the power to engage with us throughout the entire process. Not only
n you securely communicate with our team, but you'll also gain access to your important documents, the
bility to upload photos, and much more! This improved platform is designed to make your registration
rience smooth and efficient.
Rental Property lnformation
All fields are re uired! lncom lete lorms without a valid hone # or email cannot be rocessed
Rental Property Address *53co l-3..,ct IshJ Rd,n nual SSeasonal Short Term less than 31 d
Trash Removal by:
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Rental of
Rroperty Owner Name:
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Mailing Address
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Alternate Phone No (required)E-mai I Address
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I am no longer renting the property, or I may beunderstand
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I must notify the Health Department in writin
Revised: 10/2312023
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Rental Period:
(requrred)Pfl mary Phone No.
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