HomeMy WebLinkAbout48 Lake Road West paper applicationApplication for 2O24 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Tefephone (508) 398-2231, ext. 1240
Fax (508) 760-3472
E-mail: epolite@yarmouth. ma. us
xkflF 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.portal.openqov.com/ to get
started. There, you can efiortlessly 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 DetectaFlo
Monoxide Detectors and verified that they are leis than 10 years old: Please initial ff
Contaci the Building Dopartm€nt regaading questbns on type and locatbn plior to purdEsing.
arbon
httosJ/www.varmouth-ma.us/Documen nter^/ieM1 1 22 1/Smoks{etector-location
A non-refundable application fee of $80 pef UniUfenta! is required.
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.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of your application and fee.
Renta! Property lnformation
All lields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
Rental Property Address:
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Rental Period:
nual Seasonalt /hort Turm ess than 31 S
owneJ
Trash Removal by
Tenant
Rental of:
lex Condoouse artment Roomu
Property Owner Name:
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Mailing Address:
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(required)E-mail Address:
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Alternate Phone No.
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Primary Phone No (required)E-mail AddressAgenVAgency
e s eprese
otify the Health Department in writing urhen I am no longer renting the property, or I may be
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Revised: 10/232023