HomeMy WebLinkAbout24 Heritage Drive paper applicationI
Application tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epolite@yarmouth. ma. us
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ilfF 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 effortlessly create your account and conveniently pay the registration fee.
Using this upgraded sfstem, yoq'll have the power to engage with !!s throughout the entire process. NQt 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 Requiredl
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectorslca
Monoxide Detectors and verified that they are leis than 10 years old: P/ease initial il,HContact the Building Department regarding questions on type and location prior to purchasing.
httosJ/www varmouth ma. us/DocumenlCenler^/reW1 1221lSmoke-deteclor-location
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A non-refundable apptication fee of $80 pef UniUfgntal is required.
Rental Certificates expire on December 31"t, 2024.
lf NOT registering online, please make checks payable to: Town of Yannouth and rnail completed applicatjon &
payment to: Town of Yarmouth Health Department.
Health Depaftment willcallto schedule an inspection if required, upon receipt of your application and feeThe
Rental Property lnformation
All fields are re(uired! lncom ete forms without a valid hone # or email cannot be rocessed
Rental Property Address
lV fiun,Ttr1- )7,,u nnual Seasonal Short Term less than 31 da
Rental Period
Trash Removal by:
Owner {- Tenanr House rtment RoorlDUleCondo
Rental of
Property Owner Name
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lrailing Address
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requ ne omary Alternate Phone No
)t{.{7)- 8'/ x=
(required)E-mail Address
l'1{ /rN e "(a4
enprese
cyAgenVAgeneS Primary Phone No (required)E-mail Address
partment in writing when I am no longer renting the property, or I may be
Date: Plzsl4
I have arr
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fln nd teu.
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State Sanita ry arm
al
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Furthermo , I understand I must notify the Health Desubject to esa
Sign
Chapter Fi
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IV n m mU Standa of SSne
RentalHbsite
Yarmouth Short Term Rental Bvlaw (if aDolicable) and thefor Human Habitation) all of wh'lch aie avbitabte on our we
Revised: 10/2312023