HomeMy WebLinkAbout136-138 West Yarmouth Road paper applicationApplication for 2024 Rental Registration rj
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, IUIASSACHUSETTS
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 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 securely communicate with our team, but you'll also gain access to your important documents, the
ability to upload photos, and much more! Thls improved platform is designed to make your registration
experience smooth and efficient.
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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 verifled that they are leis than 1O years old: Prease inrtial NContact lhe Building Department regarding queslions on type and location prior to purchasing.
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A non-refundable application fee of $80 per UniUfental is required.
Rental Certificates expire on December 3'lsr, 2024.
lf NOT registering online, please make checks payable to: Town of YanrDufr and nEil conpieted application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of yourapplication and fee.
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Rental Property lnformation
All fields are re uired! lncom ete forms without a valid hone # or email cannot be rocessed
Rental Property Address:
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Rental Period:
Seasonal Short Term (less than 31 days)AnnualI
Trash Removal by: '
owner renant /House DuplexzV Condo Apartment Room
Rental of
Property Owner Name
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lvlailing Address
( req u ired) P rima ry Phone No
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Alternate Phone No
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(required)E-mail Address
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Owner's Repre
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sentative/Rental Primary Phone No
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Furthermole, I under_stand I must notify the Health Department in wsubject to fines and fues.
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riting when I am no longer renting the property, or I may be
Revised: 10/2312023 -
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