HomeMy WebLinkAbout50 Cedar Street paper applicationt]tc 1 1 ?023
HEATTH DEPT,
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Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectgls/Carbon
Monoxide Detectors and verifled that they are less than 1O years old: P/ease initial 0L
Contact the Building Department regarding questions on type and location prior lo purchasing.
nterMiew/l 1 221 /Smoke-deleclor-locatronhltos://wwwvarmoulh ma us/DocumentC
A non-refundableapplication feeof $80 pef Uniufental is required.
Rental Certificates expire on December 31si, 2024.
lf NOT registering online, please make checks payable to: Town of Yannouh and rnail cornpleted application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment will callto schedule an inspection if required, upon receipt of your application and fee.
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETT
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail : epolite@yarmouth.ma.us
The Town of Yarmouth is excited to announce that we've streamlined the online registration process t
make it more user-friendly than ever beforel Simply visit https://varmouthma. portal.openqov.com/ to get
tarted. There, you can effortlessly create your account and conveniently pay the registration fee
Using this upgraded system, you'll have the power to engage with us throughout the entire process. Not only
n you secrjreiy coinmijnicate with oui team, but'yoi.i'il aiso gain access to youi important documents, the
bility to upload photos, and much more! This improved platform is designed to make your registration
xperience smooth and efficient.
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid one # or email cannot be rocessed
Rental Property Address
Socelargl. g Lfi$ot^^Seasonal / Sho.t T"rrnnual less than 31 da S
Rental Period
Trash Removal by:
owner-{- Tenant rtment Room
Rental of
Condo
Property Owner Name
ert chnshrw- kidnC)r,t3 <lers Pr,bkcvilb t4A d?3t/7
Mailing Address
'111-166- o'lo7
requr nmary one Alternate Phone No (required)E-mail Address
cArisnre. hdn a @ Wzorr-
enepresen
ncy
SAgenVAge Primary Phone No (required)E-mail Address
re. I understand I musl notitu the Health Department in writing when I am no longer renting the property, or I may befines and bes.
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odState Sanitarv
hftos:i/wwvi,e,Chapter nimum Standa of Fitnessrmouth-ma 3/RentalHousino-Prooram
Rental Bylaw
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Furthermo
subject to
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DateSign
Revised: 10/2312023
D
@ Application tor 2024 Rental Registration
House r' Duplex