HomeMy WebLinkAbout358 Forest Road paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS
Telephone (508) 398-2231, ext. 1240
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 lt more user-friendly than ever beforel Simply visit https://varmouthma. portal.openoov.com/ to get
started. There, you can effortlessly create your account and conveniently pay the registration fee.
Using this upgrad€d system, yoLr'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! This improved platform is designed to make your registration
pxperience smooth and efficient.
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I E-I LTH DEPT
Smoke Detectors and Carbon Monoxide Detectors are Required!
Monoxide Detectors and verified that they are less than 10 years old: Please nitia
Contact the Euilding Department regarding questions on type and location prio. to pu
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htlos://w\ 1 / varmoulh.ma.us/DocumentCe nler^/iew 1 1 22 1 /Smoke-detector-localion
Owners: I have ensured the batteries are changed,have tested ALL Smoke Detecto
I
ing
A non-refundable application fee of $80 pef UniUrental is required.
Rental Certificates expire on December 31"1, 2024.
lf NOT registering online, please make checks payable to: Town of Yarnoud'r and rnail mmpleted application &
payment to: Town of Yarmouth Health Department.
dment wittcatlto schedule an inspection if required, upon receipt of yourapplication and feeThe Health Depa
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
Rental Period:
Seasonaltl Short Term (less than 31 days)
-
An nual
Rental Prooertv Address:'""V'r[''"F)"i;e/ A/
Rental of:
" Duplex Condo Apartment Room-House
Trash Removal by:
owner "/ Tenant
lo. ,Aax
c/o ,-'A A.('5:S ftato/loi arh-tel/4 a631
Mailing Addressoertv Owner Name- /1 i C>-t:;! n/''h"Yi!),Pro
(required)E:mailAddress:,1
f ! e {,tt-p,Kco,.culYrY
(required)Primary Phone No4t) Al t-87/)Affernate Phone No.
7e 2-q'%/>
owner's Representative/Rental
AgenUAgency Primary Phone No
l have read and larr fa
Yarmouth Shorl'Ierm Rental Bylaw (rf applicable) andtheln.StateSanitaryCoEe.'Chapterll (N4rnimum Slandariis ofFitness
tor Human Habitation) all of which are available on our websile. https:i /ww!i.varmouth. ma.usi 423/RentalHousinq-prooram
ify the Health Department in writing when I am no longer renting the property, or I may be
Date )?Sign
Furthermore , I understand I must notsubject to Iines and
(o r'..,_
Revised: 10/2312023
( req u ired) E-mail Address: