HomeMy WebLinkAbout7 Connemara Way paper applicationApplication tor 2O24 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSE
The 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.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.
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Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail : epolite@yarmouth.ma.us
Smoke Detectors and Carbon Monoxide Detectors are Requiredl
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Carbon
Monoxide Detectors and verified that they are leis than 10 years old: P/ease initial /2 k
Contacl the Building Departmeni regarding queslions on type and location prior to purchasing.
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A non-refundable application fee of $80 pef UniUfental is requireo.
Rental Certificates expire on December 31"t, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouttr and mail completed application &
payment to: Town of Yarmouth Health Deparlment.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of yourapplication and fee.
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Rental Property lnformation
lete forms without a valid hone # or email cannot be cessed
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Rental Property Address:
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Rental Period:
Annual y Seasonal Short Term (less than 31 davs)
trash Removal by:
Owner Tenan
Rental of:,//House Ouolex ,,/Condo Apartment Room
Prope(y Owner Name
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Mailing Address:
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Alternate Phone No
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(required)E-mail Address,:
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Primary Phone No (reqi!i red )E-mai I AddressOwner's Representatrve/Rental
AgenUAgency
I have read and lam familiar with the Town ofYarmouth Chapter
Yarmouth Short Term Rental Bylaw (if applicable) and the MA.
for Human Habitation) all of which are available on our website
d I must notify the Health Department in writing when I am no longer renting the property, or I may be
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108 Rental H
State Sanita
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Furthermore, lunde
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Sign
r 104 Antr-Noise Bylaw, To,ryn of
Ivlinimum Standards of Fitness
Date: / Z
Revised 10/2 3
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