HomeMy WebLinkAbout21 Kennedy Road paper applicationApplication tor 2024 Rental Registration
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TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231, ext. 1240
Fax (508) 760-3472 Lo
E-mail: epolite@ya rmouth. ma. us
The Town of Yarmouth is excited to announce that we've streamlined the online registration process to
t more user-friendly than ever before! Simply visit https://varmouthma. portal.openoov.com/ to getmake i
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 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 Detectors/Carbon
Monoxide Detectors and verified that they are less than 10 years old: p/ease intial
Contact the Building Department regarding questions on type and localjon prior to purchasi
httDsl/www vermoln h.ma us/DocumenlCenlet N iew I 1 1 22 1 etectoFlocalion
A non-refundabte 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 Yarmouth and mail completed applicalion &
payment to: Town of Yarmouth Health Department.
The Health Depaftment will call to schedule an in spection if required, upon receiptof yout application and fee
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid ne # or email cannot be ocessed
Rental Property Address
Y*u^r*,h,Wunt oaLy Ppe.t k"Seasonal Short Term (less than 31 days)ual
Rental Period
Trash Removal byl
Owner TenantL ,u\4uplex_Condo_Apartment RoomHou
Rental of.
Property Owner
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(required)Primary Phone l\lo
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Alternate Phone No (require6)E-mail Address
PPoN?{Da,^.n*,:c -ceC)wner's Representative/Rental
Agent/Agency Primary Phone No (required)E-mail Address
ust notify the Health Department in writing when I am no longer renting the property, or I may be
mar website
the
Date: o t o?Sign
I have read and lam fam liar with the Town ofYarrnout orse ownA,S Chapte imum Stand of Fitness
ousino-Prooramuth/RentalH
Furthermo re I understand I
subject to fi nd fues
Yarmoulh Shorl Term Rental Bylaw (rf applicable) and
for Human Habilation) allof whrch are available on ou
Revised: 10/23i2023
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PROEV ATANAS N
48 CLIFFORD ST
SOUTH YARMOUTH, MA 02664
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