HomeMy WebLinkAbout27 Cleveland Waypaper application@ Application tor 2024 Rental RegistraYffi
TOWN OF YARMOUTH
Health Department
,1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
Fax (508) 7 60-3472
r r, E-mail: epolite@ya rmouth. ma. usw?T fhe 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 httos://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 with our team, but you'll also gain access to your important documents, the
ability to upload photos, and much morel 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/Carbgn ,
Monoxide Detectors and verified that they are less than 1O years old: P/ease initiatlffS oLfi[
Contact the Building Department regarding queslions on type and localron prior lo purchasin g. D'
httos J/www varmoulh.ma. us/DocumentCenter^,/ieWl 1 22'j /Smoke-detecloalocatron
A non-refundableapplication fee of $80 pef UniUfgntal is required.
Rental Certificates expire on December 31"t, 2024.
lf NOT registering online, please make checks payable to: Town of Yannoutl and rnail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of your application and fee.
Rental Property lnformation
All fiel& are re uired! lncom )hone # or email cannot be roces.sed
Rental Property Address:
21 Chvel<,vl lda.1
Rental Period;
Annuall/ Seasonal Short Term (less than 31 davs)
Trash Removal by:
Owner Tenant
Rental ofl
House Duplex Cond/oo.n^"n Room
Property Owner Name 7$rr.lr 1
B.nntt s- hlexaa)d ( P"+*;1
Mailing Address:2i' .<1.va,*lo P/,FtrtLa ozolz-
(requrred)Pnmary Phone No
7??-722-7Ed3 (e"t*2
Alternate Phone No
s-og El,-,,0o(*,a1)
(required)E-mail Address:
leilEXz Qcacart,n"/
Owner's Re
AgenVAgen
E lnt
presentative/Rental
LL*n^*a
Primary Phone No (required)E-mail Address
I have read and larr familiar with the
Yarmouth Short Term Rental Bvlaw
for Human Habitation)allof wh'rch a
Town ofYanncutheEder
the lVlA.
I 104 Anti-Nbise(if applicable) and State Sanitary Chapter (Minimum Standa s of Fitness
re available on our website. httDs://www.varmouth-m a.us 423/RentalHousino-Prooram
Furthermole, I under-stand I must notify the Health Departmenl in writing when I am no longer renting the property, or I may besubject to fines and bes.
Sign tU,-t-Date / 2- L-23
Revised: 10/2312023