HomeMy WebLinkAbout4 Tanglewood Drive paper applicationApplication for 2O24 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 RourE 28, sourH YARMOUTH, MASSACHUSETTSRffi€tveo
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epolite@yarmouth.ma.us / ') 1-r ,)il','1
iIEALTI-I DEPT.
https ://varmouthma. portal.openqov.com/
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Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Dete
IVlonoxide Detectors and verified that they are less than 10 y
n
ears old:
Contacl the Building Deparlment regarding questions on lype and location prlor to purciasi
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A non-refundabte application fee of $80 pef Uniufental is requjred
Rental Certificates expire on December 3'lst, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &payment to: Town of Yarmouth Health Depariment.
The Health De aftment willcall to schedule an in ion if required, upon receipt ol ut application and fee
Rental Propefi lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessedRental Property Address
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t notify the Health Department in writing when I am no longer renting the property, or I may be
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