HomeMy WebLinkAbout173 SetucketRoad paper applicationApplication lor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHU
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 to
make it more user-friendly than ever before! Simply visit https://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 v,,ith our team, but you'll also gain access tc ycur important documents, the
ability to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
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HEALTH DEPT
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 rnftiat,l-f )
Contacl the Building Depadment regarding questions on type and location prior to purchasing.
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A non-refundable application fee of $80 pef UniUfental is required.
Rental Certificates expire on December 31st, 2024.
lf NOT registering online, please make checks payable to: Town of Yannoud'r and rnail conpleted application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of yourapplication and fee.
Rental Property lnformation
All fields are re uired! lncom ete forms without a valid one # or email cannot be rocessed
Rental Prop€rty Address:
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Rental Period:
Seasonal Short Termnual less than 31 da S
Trash Removal by
Owner Tenant OUSE a rtmen RoomDulex Condo
Rental of:
Property Owner Name
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N,4a il lng Address
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requr nmary one o Alternate Phone No (required)E-mail Address
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eneSAgenVAgencyrese Primary Phone No (required)E-mail Address
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s,Yfj!!i'lf fi"rJ.T#r"rstand I must notifv the Health Department in writing when I am no tonger renting the property, or I may be
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Revised: 10/2312023
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