HomeMy WebLinkAbout11 South Street paper applicationApplication tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1145 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 124O
Fax (508) 760-3472
E-mail: epolite@ya rmouth. 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 httos://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 gairi access to youi'impoilant documents, the
ability to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
Smoke Detectors and Carbon Monoxide Oetectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Det
Monoxide Detectors and verified that they are less than 10 years old: P/ease iri
Contacl the Building Department regarding questions on type and location prior to
on
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A non-refundabte apptication fee of $80 pef Uniufental is required
Rental Certificates expire on December 31"1, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedLle an inspection if required. upon receipt of your application and fee
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be trocessed
Rental Property Address
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Rental Period:
Seasonal Short Termnnual less than 31 da S
Property Owner Name Mailing Address:
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requrr nmary one o Alternate Phone No (required)E-mail Address
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SAgent/Age Primary Phone No (required)E,mail Address
partment in writing when I am no longer renting the property, or I may be
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usrng AW ter 1 ntr-aw own oState Sanita Code, Chapte s of Fitness.vaa uth.ma.u o usrno -423/Rental qram
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Furthermore. I understansubject to flnes and fues.
d I must notify the Health De
Sign Date
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Revised: 10/23l
Trash Removal by:
owner-- L,/a renant
Rental of:
Houserl-/Duplex condo ADartment Room
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