HomeMy WebLinkAbout85 B Run Pond Road paper applicationApplication tor 2024 Rental Registration
TOWN OF YARMOUTH
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orili?I*i"3iT[",il1""o ", u s Errs 02664
Telephone (508) 398-2231 , exl. 1240
Fax (508) 7 60-3472
E-mail: epolite@ya rmouth. ma. us
# ,n" -o*n 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://yarmouthma.porta l-openqov. com/ to get
started. There, you can effortlessly create your account and conveniently pay the registration fee.
Using this upgraded systern, you'll have the power to engage with us throughout lhe 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 efflcient.
Smoke Detectors and Carbon Monoxide Detectors are Requiredl
Owners: I have ensured the batteries are changed, have tested ALL Smoke Deteetort/Carbon
Monoxide Detectors and verified that they are less than 1O years old: P/ease ntiall0 ,-
Conlacl lhe Building Depadment regarding questions on type and location prior to purchasing.
hltos://www.varmouth.ma.us/DocumentC nter/VieW1 1221 /Smoke-deteclor-location
A non-refundabte apptication feeof $80 pef UniUfgntal is required
Rental Certificates expire on Decembet 31'1. 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health De anment willcall lo schedule an iuspectioD if requlred. upon receipt of yout application and fee
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be ocessed
i?A'fi :"Hffi ' r; . Hfi *-"""1'*Rental Periodl
Annualjseasonal Short Term (less than 31 days)
Trash Removal by:
o*nu, / Tenant
Rental of:
ouptex/Conoo ApartmentHouse Room
Prooertv Owner Name
YE- Pvri I'ND fDD. U^-Awa;; + DG;-cqr*^J
lMailino AddressL@<i4+ts^>}.-.f-^i/(- Sftob$,Aov\. rra& 07.5-1-)(reouired)Primarv Phone No
(On)r,ro-t6rL
Alternate Phone No(^de{-4*( required)wt&q\.Alllelc.
S (!
lNc6
E-mail
Owner's Representative/RentalAgent/Agency Primary Phone No (requirad)E-mail Addreld
I have read and Iarn farnr|ar with the Town of Ya
Yarmouth Shorl Term Rental Bylaw (rf appLcable) and the li.4A Slate Sanitary Coae.'Chapler il (Mrnrmum Standarbs of Fitness
for Human Habitation) all of which are available on our website. https://www.varmouth.ma.us/423/RentalHousinq-Prooram
ify the Health Department in writing when I am no longer renting the property, or I may be
Date tilr,a\artSign
ore nderstand I must not
and b€s
Furthe
subject t
Revised: 10/23120