HomeMy WebLinkAbout99A Center Street paper applicationApplication tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 RourE 28, sourH yARMourH, MASSACHUSETTS 02664
The 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.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 secureiy communicate with our ieam, bur you ii aiso gain access to your important documenls, the
ability to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
Telephone (508) 398-2231 , exl- 1240
Fax (508) 7 60-3472
E-mail : epolite@yarmouth.ma.us
H EALTH DEPI
UtC 0 5 2023
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Carbon
Monoxide Deteclors and verified that they are lels than 1O years old: P/ease initiat C/
Contacl the Building Department aegarding questions on type and location prior to purchasing.
hltos://www varmoulh ma us/Documenl terNie\{/1 1221 /Smoke-deleclor'locelion
A non-refundable apptication fee of $80 pef UniUfgntal is required
Rental Certificates expire on December 31sr, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaiment willcallto sclledule an inspection if required, upon receipt of yourapplication and fee
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid )hone # or email cannot be ocessed
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Rental Period:
nnrrl /Sea.on"l Short Term less than 31 da S
Trash Removal by:
Owner Tenant-L OUSE rtment RoomDUlex Condo
Rental of
Property Owner Name
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Mailing Address:
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req urr nmary ne o Alternate Phone No
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Primary Phone No (requared)E-mail Address
5jfi::liffi?lr'irtfrstand I must notifv the Health Department in writing when I am no longer renting the property, or I may be
ntal Bvlaw
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ve read an am rnl rar wr Yarmou ter 1Yarmouth Short Term Re (if applicable) and the A. State Sanita Chapte
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ry C o"Ofor Human Habitation) all re available on our website httDs:/.varmou .ma 423tR
Date t,t 4
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l,4inimum Standards of Fitness
Srgn
Revised: 10/2312023
Rental Property Addressl