HomeMy WebLinkAbout20 Candlewood Lane paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSE
Telephone (508) 398-223'l , ext. 1240
Fax (508) 760-3472
E-mail : epolite@yarmouth.ma.us
s 02664
DEc t 6 2623
HEALTH 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 beforel 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
calr you securely cornrnunicate yJith our r€am, 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 rnltral rOC-
Contact the Building Department regarding questions on type and location priorto purchasing.
hllps J/www varmouth.ma us/DocumentCenter^,/ieWl'l 221 /Smoke-deteclor,localion
A non-refundableapptication fee of $80 pef UniUfental is required.
Rental Certificates expire on December 31"t, 2024.
lf NOT registering online, please make checks payable to: Town of Yannouth and rnail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an i'nspection if required, upon receipt of yourapplication and tee
Rental Property lnformation
All fields are re uiredl lncom ete lorms without a valid hone # or email cannot be rocessed
Rental Property Address:
Jc, C,r,ate*no4 La"c- [Jas\-larrrni]A'
Rental Period:
,/
Seasonal .,'Short Term (less than 3'1 days)An n ual
Trash Removal by:
Qwner-/ Tenant
Prope(y OyJner Na.-ne Qr.^plx\\€ovr-,u,. "lonna
Rental of:
Houselll Duplex_ Condo_ Apa
kLrrr5*n lYlA
Roo
8!{ Hq,nc"cL Sr 6)v-l
rtme
(requrred)Primary Phone Norl?l -u3-lao5
Alternate Phone No
18t-ae3 -taoY (required)E-mail Address
4c nnoJts-66'^n 9)*ilp rnsn. crrr
Owner'sAgenUAgRepresenlafite
encvc.d fbqt Es]ok
Rental
\.- <c0<-
Primary Phone No
5dC-31,9- &or)fr
(required)E-mail Address
hfn, tl<rs 2 g 6;-'t e. ulatrz cor
ify the Health Department in writing when I am no longer renting the property, or I may be
ar rar
I Bylaw
which a
to llqs and tses.(u^r'-,--Sign
Yarmoulh Short Term Renta (if applicable)and the State Sanitary , Chapter
for Human Habitation) all of re avat lable on our website httos://www.varmouth.ma
Furthermore, I understand I must norsubjecta*U"al
M n Um Stam and S Fof enSS
--)t-i5 a
423/RentalHousino-Prooram
1
Date
Revised: 10/23/2023
D
Mailrng Address: