HomeMy WebLinkAbout34 Lorena Road paper applicationApplication tor 2O24 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 124O
Fax (508) 7 60-3472
E-mail : epolite@yarmouth.ma.us
sk/i[\ 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.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 communicale with our team, but you'll also gain access lo yorr imporlant ciocumenls, lhe
ability to upload photos, and much morel This improved platform is designed to make your registration
experience smooth and efflcient.
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 rnilralJR
Contact the Building Deparlment regarding questions on type and localron pnor lo purchasrng -httpsJ/www yarmouth.ma us/DocumentCenter^/iew/1 1221lSmoke-detector-location
A non-refundable application feeof $80 pef UniUfe[t?l is requireo.
Rental Certificates expire on December 31"r, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Tovrn of Yarmouth Health Department.
The Health Depaiment willcallto schedule an inspection if required, upon receipt of your application and fee.
All fields are re uired! lncom lete foms without a valid hone # or email cannot be rocessed
Rental Property Address
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Rental Period:
seasonat /tnonr*^nnual less than 3'l d S
Trash Removal by:
.,.-owner r' Tenant o use rtment RoomDUleCondo
Rental of:
Property Owner Name
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(required)E-mail Address
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nAgent/AgeneS Primary Phone No (required)E-mail Address
I must notify the Hearth Department in writing when r am no ronger renting the property, or r may be
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Furthermore. I understandsubject to fin'es and fres.
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Revisedr 10/2312023
Rental Property lnformation
Mailing Address: