HomeMy WebLinkAbout55 Cottonwood Street paper applicationTOWN OF YARMOUTH
Health Department
1145 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
Fax (5OB) 760-3472
E-mail: epolite@ya rmouth. ma. us
The Town of Yarmouth is excited to announce that we've streamlined the onlirl(?-fegrcffiiuffpr6-c€i6#o
make it more user-friendly than ever before! Simply visit https://varmouthma. portal.openqov.com/ to get
started. There, you can e-ffortlessly 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
abiiity to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
I
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 leis than 10 years old. P/ease intral )rz vz |y'1
Contact lhe Bujlding Department regarding questions on type and location pnor to purchasrng y' J
nterA/ieW1 1 221 /Smoke-deteclor-locationhttosJ/www varmouth ma.us/DocurnentCe
A non-refundabte apptication feeof $80 pef UniUfgntal is required.
Rental Certificates expire on December 31st, 2024
lf NOT registering online, please make checks payable tor Town of Yarmouth and mail completed application &
payment to; Town of Yarmouth Health Department.
The Health Department willcallto schedLtle an inspection if required. upon receipt of your application and fee
Rental Property lnformation
All fields are re uired! lncom lete s without a valid hone # or email cannot be rocessed
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Rental Proper{wtu rty Address. 0?4ryb.
Lu ot) 51- Y ttr nad- lo{-tq nnual less than 31 d
Rental Period
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Property Owner Name rhcc qv*ltY or ah
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ersAgent/Age Primary Phone No (required)E-mail Add S
longer renting the property, or I may be
Date
apler ap
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e own nBy
sis
ar with armoulh nta ousrng aw. Ch osental Bylaw (if
of which are
applicable) and the State Sanita ry Code, Chapte (Minimum Standavailable on our website. httDs:/rmouth.ma,us/423lRentalHo
Yarmoulh Short Term Re
for Human Habitation) all
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ards of Fitness
sino-Prooram
ylaw,
Furthermore, I understansubject to fines and bes enlamd I must notify the Health Department in writing wh
Revisedr 10/23l
q$9 Application tor 2024 Rental Registration