HomeMy WebLinkAbout134 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) 7 60-3472
E-mail: epolite@yarmouth. ma. us
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ff 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://varm outhma. oortal.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.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Dete rbon
l/onoxide Detectors and verified that they are less than 10 years old:
Conlacl the Building Department regarding queslions on type and localion prior to purcha
ht rmouth.m ID m 1T 1 I
A non-refundable application fee of $80 pef UniUfental is required
Rental Certificates expire on December 31"r, 2024.
lf NOT registering online, please make checks payable toi Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
TIE Health Depaftment willcallto schedule an inspection if required, upon receipt of your application and fee.
Rental P roperty lnformationA fields are uired! lncom lete forms without a valid hone # or email cannot be rocessed
Rental Property Address
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Rental Period
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Property Owner Name:
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Mailing Address
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Agent/Agency Primary Phone No (required)E-mail Address
e Health Department in writing when I am no longer renting the property, or I may be
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DateSign
Revised: 1 o23