HomeMy WebLinkAbout99 Baxter AVe paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02564
Telephone (508) 398-2231 , ext. 124O
Fax (508) 760-3472
E-mail: epolite@ya rmouth. 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. porta l.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 lhe 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 efiicient.
#0 7 ?023
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 initialLot2_
Contact lhe Building Depanment .egarding queslions on type and locatjon prior to purchasing.
moke-delector localionma.us/DocumentCenlet N p-wl 1 1221 lShllos //www vermo
A non-refundable application feeof $80 pef UniUfgntal is requared
Rental Certificates expire on December 3'l'', 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth aM mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depadment willcallto schedule an inspection if required, upon receipt of your apptication and fee.
Rental P roperty lnformation
All fields are re uired! lncom )lete forms without a valid )hone # or email cannol be rocessed
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OU SC
Seasonal Short Term less than 31 da S
Du lex Condo A artment Room
Rental Period
Rental of
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Rental Pro perty Address
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ra h Removal by
o*n", / Tenant
Property Owner Name
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Mailing Address
(required)Primary Phone No
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Alternate Phone No
Qd)-5q-oBLtL
(required)E-mail Address
(arz@gelfaha , ccvn
Owner's Representative/Rental
Agent/Agency
LvoIve
Primary Phone No (required)E-mail Address
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I have read and lam famil,ar with the Town of Yarmouth ChaoterYarmouth Short Term Rental Bylaw (rf apphcable) and the IiIA.
for Human Habitation) all of whrch are available on our websrte
ust notify the Health Department in writing when I am no longer renting the property, or I may be
Sign
Furthermore. lu rstand I m
subject to fi nd €€s
oarc: /)'3 -Zs
Revised: 10/23l2023
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