HomeMy WebLinkAbout132 West Yarmouth Road paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail : epolite@yarmouth.ma.uswlliF Th" To*n 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 communicate with our team, but you'll also gain access to your important documents, the
ability to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
A non-refundabte apptication fee of $80 pef UniUfgntal is required
Rental Certificates expire on December 31"i, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmodh and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment wil call to schedule an inspection if required, upon receipt of your applicatiott and fee.
All fields are re uired! lncom
Rental Property lnformation
lete forms without a valid hone # or entail cannot be essed
Rental Property Address:t7z-d. Y**g!!yp.,^Rental Period:
sonal Short Term (less than 31 days)qnnualXEea
Trash Removal by:
Owner TenantL Rental of:
House Duptef(condo Apartment Room
Property Owner Name:
j)a-.*.2 r-k-,4'Mailing Address:
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t-S- G"a-;. ,u !'7^ai L-€a?<(D
(required )Primary Phone No Alternate Phone No (required)E-mail Address
Owner's RepresentaiVeTRental
Agent/Agency Primary Phone No (required)E-mail Address
Town ofYarmouth Chaprer 108 Rental Housrng Bylaw. Chapte
(rf applicable) and the MA State Sanila ry Code. Chapter ll (
re available on our website. httDS://www.varmouth.ma.us/
Ith Department in writing when I am no longer renting the property, or I may be
I have read and lam familiar with the
Yarmouth Short Term Rental Bvlaw
for Human Habitation) allof which a
fiOaTntFNoEe BtE
l\4inlmum Standards of Fitness423lRentalHousino-Proqram
more. I uffderstan
to frngd f'd bes.
/ /*-4 ML
Further d I must
su bject
Date
Revised 1 3
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
Contact the Building Oepartment rega.ding questions on type and location prior lo purchasing.
hltps //www varmouth ma us/DocurnentCenter/View/ 1 I221lSmoke-detector-location
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