HomeMy WebLinkAbout14 Niagara Lane paper applicationApplication tor 2024 Rental Registration
Health Department
1I45 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , e\t. t Z4O
Fax (s08) 760-3472
E-mail: epolite@yarmouth. ma. us\ L;.-.p"(;l.
it r-https ://varmouthma. portal.openqov. com/
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A non-refundabteapptication fee of $80 pef UniUfental is requared.
Rental Certificates expire on December 31st, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
cation and feeurauired, upon receipt ofnt willcallto schedule an inspection ifThe Health De rtme
Rental Property lnformation
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Ren
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Address
Lane,J{,MAWe+o Sea"onat/Short Termnual Sless than 31 d
Rental Period
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Tenant
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Owne ouse rtment RoomDUlex Condo
Rental of:
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Owner Name
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requt ty ne o Alternate Phone No
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mail Address:
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Primary Phone No (required)-mail Address
partrnent in writing when I am no longer renting the prcperty, or I may be
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State Sanita ryco Chapter
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