HomeMy WebLinkAbout46 South Street paper applicationTOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext.'1240
Fax (508) 760-3472
E-mail : epol ite@yarmouth.ma.uswfll\ fne Town of Yarmouth is excited to announce that we've streamlined the online registratron process to
make it more user-friendly than ever before! Simply visit https://varmouthma. porta l.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 secrrrely communicate with our team, but you'll also gain access to your importanl documents, the
ability to upload photos, and much morel This improved platform is designed to make your registration
experience smooth and efficient.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Deteqtors/E
Monoxide Detectors and verrfied that they are leis than 1O years old: P/ease initiafK /
Contact the Building Department regarding queslions on type and locatron prior to purchaslog.
hltos //www varmouth ma us/DoelIentcenler,ryrew/ 1 1221lsmoke detector location
arbon
A non-refundableapplication feeof $80 pef UniUfental is required
Rental Certificates expire on December 31'r. 2024.
lf NOT registering online, please make checks payable to: Town of Yarmodh and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcall to schedule an inspectioi if required, upon receipt of your application and fee.
Rental Property lnformation
All fields are r,uired! lncom lete forms without a valid hone # or email cannot be essed
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Rental Property Address
b ,..A J-r r', " (-. Rental Period
/"""ron^, short rermnnual less than 31 da S
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Rental of:
ex CondoOUSE artment Room
perty Owner Name
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(required)E-mail Address
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(required)E-mail AddressPrimary Phone No
tand I must notify the Health Department in writing when I am no longer rentang the properly, or I may be
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Revised: 10/2312023
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Application for 2024 Rental Registration
Trash Removal by.
Owner t"n"n l//
Mailing Address:
Owner's Representatrye/RentalAsent/Asency
/ *
(Minimum
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for Human Habitation) a