HomeMy WebLinkAbout785 Route 28 #3 paper application-D
Application lor 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.us
HKT fne 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.openoov.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 Detectors/Carbon
Monoxide Detectors and verified that they are less than 10 years old: P/ease initial
Contact the Building Department regarding questions on type and location prior to purchasing.
hllos://www varmouth ma us/DocurnentCenlerAy'ieWl 1221lSmoke-deteclor'localion
A non-refundableapplication 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 mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaiment willcallto schedule an inspection if required, upon receipt of yourapplication and fee.
Rental Property lnformation
All tields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
Rental Property Address: 'lt6 fZ+?-g u r"* 3
saJla\ Yothcp+h, !.^A nual Seasonal Short Term less than 31 da S
Rental Period
Trash Removal by:
Owner Tenant J OUSC RoomDUa
Rental of:
Condo
Property Owner Name:
Bob?r4o !4a\o,, f o^\crr
Mailing Address: Gr-l
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requr flmary Alternate Phone No
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(required)E-mail Address:
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Primary Phone No
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(required)E-mail Address:
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fy the Health Department in writing when I am no longer renting the property, or I may be
pter
ma.sinq-Proqram
Date: l\ /3O / z,=Sign
State Sanitary
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la uH anm abiH ation a of a a ba e o on U ebst rmouth, cha Minimum Standards of Fitness
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Revised: 10/2312023
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Owner's Reoresentative/RentalAgenVAgenby