HomeMy WebLinkAbout39 Bob-O-Link Lane paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 124O
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 beforel Simply visit https://varmouthma. portal.openqov.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 co!'nmunt4ate with our team, but you'll also gain access tc ycur impertent dccuments, 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 Deteqtofs/Carbon
Monoxide Detectors and verified that they are less than 1O years old: p/ease ,nlt a(_2&tli.
Contacl the Building Department regarding questjons on type and location prior to purchasing.
ieWl 1221 /Smoke deleclor'localonalmouth ma us/DocumenlcenlerN
A non-refundabteapptication feeof $80 pef UniUfental is required
Rental Certificates expire on December 3-ls', 2024.
lf NOT registering online, please make checks payable tor Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
iptot yourapplication and feeThe Health Depaftment willcallto schedule an inspection if required, Ltpon rece
All fields are re uired! lncom )lete forms without a valid hone # or email cannot be rocessed
Rental Properly Address:
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Rental Period:
---.---\Annual (Seasonal I Short Term (less than 3'l days)Trash Removal by:
ownerl Tenant-
---Erf(at of:
House V Duplex_ Condo_ Apartment Room
Property Owner Name:
5a"tr-etz..f--"*J oc--Ur*--Tr'"s!
Mailing Address:
,-3-5 I:.,Y - o Li-\.- L,.n-.
(required)Primary Phone No
€:tn-q'6)-3e r'1 Alternate Phone No (required)E-marl AddreSS:.
\q9'-.,o''.,-) rr-o Ji) o5m'u\
(Jwner's Reoresentative/Rental
AgenUAgenby Primary Phone No (required)E-mail Address
I have read and lam hmiliar with the Town of Yarmtuth ehapter 1
IVIA, S
08 Ren 104 Anti oseousrng,
ry uoo Chapter
aw own 0Yarmouth Short Term Renta (if applicable) and the tate Sanita e,Mrnimum Standa s of Fitnessfor Human on) allof re avallable on our website arm Renta lHo u tn
nd I must noti6/ the Health P partment in writing when I am no longer renting the property, or I may bee
t l -=.* -,
I Bylaw
which a
Furtherrtqe, I unde
'subject to llnes and
)---g.Lc t 2 L))Sign Date
q-:c,:.r\
Revised 1 312023
Rental Propefi lnformation