HomeMy WebLinkAbout91 Starbuck Lane paper applicationb,
Application for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epolite@yarmouth. ma. us
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Dtc 'l 1 2023
H EALTH DEPT
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. 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 securely communicale u,,ith cur team, but ycu'll also gain access to your impoitant 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 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
Contacl the Building Department regarding queslions on type and tocation pfior to purcnaiii!-
armouth m 11221lSmo
A non-refundabte apptication fee of $80 pef UniUfental is requrred
Rental Certificates expire on December 31s', 2024.
lf NOT registering online, please make checks payable tor Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Deparlment willcall to schedule aD in spection if required. upon receiptof you applicatiot) and fee
Rental Property Address
a({44 0 Seasonal Short Term less than 31 da S
Rental Period
Trash Removal by:
Owner Tenant l-.2 rtment RoomDulex Condo
Property Owner Name
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Alternate Phone No
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required)E -mat lAddress
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neIIAgAgency red)E mail Add(req rCSS
ealth Department in writing when I am no longer renting the property, or I may be
Date 3
ap
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Sign A
al own o armouth Ch nta Housing ler 1ntal Bylaw (if ap
of which are av
plicable) and the A State Sanitary Code,Chapte Minimum Standa of Fitnessailable on our website httDs:lH o usin o-Prooramrmouth.ma.us 423lRenta
Yarmouth Short Term Re
for Human Habitation) all
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Rental Property lnformation
All fields are re uired! lncom lete torms without a valid hone # or email cannot be ocessed
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Revised: 10/23/2023
Rental of:
(requrred)Pnmary Phon'e No.
Primary Phone No