HomeMy WebLinkAbout44 Miriah Drive paper applicationApplication tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026
Telephone (508) 398-2231 , ext. '1240
Fax (508) 7 60-3472
E-mail: epol ite@yarmouth.ma.us
The Town of Yarmouth is excited to announce that we've streamlined the online registration process to
make it more user-friendly than ever beforel Simply visit https://varmouthma. portal.ooenqov.com/ to get
started. There, you can effortlessly 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 gein acces-s 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.
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Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners. I have ensured the batteries are changed, have tested ALL Smoke Detectpfyc
Monoxide Detectors and verified that they are le-ss than 1O years old: P/ease innial {llb-
Contact the Building Deparlment regarding questions on type and localjon prior to purchasing.
arbon
hltos://www varmouih ma us/Document 1 1 221 /Smoke-detectoFlocalion
A non-refundable application fee of $80 pef UniUfental is required
Rental Certificates expire on December 31"t. 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 llealth Depaftment will call to schedule atl inspection if required, upon receipl of yout application and fee.
Rental Propefi lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be ocessed
Rental Prooertv Addressil* uiuArt r>ttrl€\r,\(onoofApoA( MA 0)b1<
Rental Peraod:
Seasonal Short Term (less than 31 days)
Trash Removal by:
Owner Tenant
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Rental of:
Pjooertv Owner Name:
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(required)Pramary Phone No
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Alternate Phone No. -b1rr - io1@--7AEv
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(required)E mail Address
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Owner's Representative/RentalAs-YdBii"L.i Lv,
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Primary Phone No
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(required)E-mail Address:
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rar wrth the Town ofYarmoulh Chapter 108 Rentat Housing Byraw Cnaptental Bylaw (if applicable) and the MA State Sanitary Code, Chapler ll (
I of which are available on our websrte httos://www.varmouth.ma.us/
Fudhermore, I under_stand I must notify the Health Department in writing when I am no longer renting the property, or I may besubject to fines and bes.l,l"*
I have read and lam famil
Yarmouth Short Term Re
for Human Habitation) al
a 1OaTnt-Norse BvLw Town oi
Mrnrmum Standarbs of Fitness
423lRental Housinq-Proaram
Sign Date l
Revised 1 3
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