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HomeMy WebLinkAbout28 Town Brook Road paper applicationApplication for 2024 Rental Registration * TOWN OF YARMOUTH Health Department 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETT$N<}26& Telephone (508) 398-2231 , ext. 1240 Fax (508) 760-3472 E-mail : epolite@yarmouth.ma.us EAtT 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:/ivarmouthma.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: Please initial R2- Contacl the Building Department regaading questions on type and location prior to purchasing. hltos://www.varmoulh ma us/DocumenlCenlerA/iew/1 1221lSmoke-detector-location A non-refundableapplication fee of $80 pef UniUfeOt?l is required. Rental Certificates expire on December 3'lst, 2024. lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed applicatjon & payment to: Town of Yarmouth Health Department. The Health Depaftment willcallto schedule an inspection if required, upon receipt of yourapplication and fee. 'd2zg n ual less than 3l da SSeasonal Short Term Trash Removal by: Owner Tenant ouse rtment RoomDulex Condo Property Owner Name A dt?,//,,^ (f 71rc4/ 'l' l^/!'oZ+- Mailing Address ,/3t / s-d['g?d- z{4q requt mary one Alternate Phone No t-dg zcz 7/ required)E-mail @,/./-r;/ ress: #a4 Prjmary Phone No ired)E-mail Address d I must notify the Health Deparlment in writing when I am no longer renting the property, or I may be apter 1 r ll (Mi .usl42 ihe own o4apter pte uth and lam armouYarmouth Short Term Renlal Bylaw (if applicabte) ) allof which are available o and the Cha nimum Standa rdsfor Human Habitation n our website ma 3/RentalHousin of Fitness -Proqram hermore, lunderstan ect to fines and €es. 3Z/'lKZDate Furt subj Sign Rental Property lnformation All fields are re uiredl lncom lete forms without a valid one # or email cannot be rocessed 3 Revised: 1 023 VEo Rental Property Address: f<a Rental Period: Rental of: c)wner's Representative/RentalAgenVAgency