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HomeMy WebLinkAbout49 Maine Ave paper applicationi
Application for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (5OB) 398-2231 , ext. 1240
Fax (508) 7GO-3472
E-mail: epolite@yarmouth. ma. us
sing this upgraded system, you'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 impodant docunrents, the
bility to upload photos, and much more! This improved platform is designed to make your registration
httos://varmouthma.portal.openoov.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 Detectors/Carbon
Monoxide Detectors and verified that they are less than 1O years old: P/ease rnitiatllft
Contact lhe Building Department regarding questions on type and localion pnor to purchasrnq-- -
htlos J/www.varmoulh ma us/DocLrmentCent er,ryie 1 1221lsmoke deteclor-location
A non-refundabte apptication feeof $80 pef Uniufgntal is required
lf NOT registering online, please make checks payable to Town of Yarmouth and mail completed appiication &
payment to: Town of Yarmouth Health Department.
Tlrc Health Depaftment willcallto schedule an insp
Rental Certificates expire on December 31.'. 2024
ection if required. upon receipt of your application andfee
Rental Property Address
41 N\rriNq f\o -\b,Seasonalnnual Short Term ess than 31 da S
Rental Period
Owne, X
Trash Removal by
I enant ous
Rental of:
lex Condo rtment RoomDu
D*'Lo-cr \S4S ,l\71^rProperty Owner Name t\*,\
ng Addressall
eI3'l(requrred)Pnmary Phone No!og7 st t>>?
Alternate Phone No
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bb$\as-h $"](*o tr "'Owner's Rep resentalve/RentaI
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Primary Phone Nofok;S ao61
(reouired)E-mail AddresEl{c.a}tht<l,tqs Eu,
ht eF\ mAc-or..
notify the Health Department in writing when I am no longer renting the property, or I may be
{-}r-n llDate
I have-read and lam familiaiwtn the
Yarmouth Short Term Rental Bvlaw
for Human Habrtation) all of which a
11
ap
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o SE
Sign
Totn-IYarmout nia ousrng law.
(if applicable) and the A. State Sanitary Code, Chapter inimum Standa of Fitness
423/RentalHousino-Prooramre available on our website. hftDs:i/wwr /.varmouth.ma.
Furthermore, I understand I must
subject to fines and €es .
Rental P roperty Information
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
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Revised: 10/23/2023