HomeMy WebLinkAbout32 Winslow Gray Road paper applicationl7 i\02 l t!\(
Application for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02564
Telephone (508) 398-2231 , ext. 1240 l,-,Fax (5O8) 760-3472
E-mai I : epol ite@yarmouth.ma.uswT Th" To*n of Yarmouth is excited to announce that we've streamlined the online regrstration process to
make it more user-friendly than ever before! Simply visit httos://varmouthma. portal.ooenqov.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 morel This improved platform is designed to make your registration
experience smooth and efficient.
A non-refundable apptication feeof $80 pef Uniufgnta! is required
Rental Certificates expire on December 31"t, 2024.
If NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment lo: Town of Yarmouth Health Department.
The Health Department willcallto schedule at) inspectiou if required, Ltpon receipt of yourapplication and fee.
Rental Property Address
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Rental Period:
Seasonal Short Term less than 31 d S
Property Owner Name:
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f.Yl19l'llo["-,^l^{-d,"rstand I musl notify the Health Department in writing when I am no longer renting the property, or I may besuolecl Io tnes ano Ees
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Date
Rental P roperty lnformation
All fields are r'uired! lncom lete forms without a valid hone # or email cannot be lrocessed
Trash Removal by:
owner- t"n"n {
Rental of:
House Condo A artment Room
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Revised: 10/2312023
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 less than 10 years old: P/ease initial
Conlacl the Building Department regarding questions on lype and location prior to purchasing
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