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Home My WebLink About76 Pine Grove Road paper applicationApplication for 2024 Rental Registration TOWN OF YARMOUTH Health Department.I146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664 Telephone (508) 398-2231, ext.'124O Fax (508) 760-3472 ftmait: epolite@yarmouth.ma.us ltv tq The Town of Yarmouth is excited to announce that we've streamlined the online registration process to ake it more user-friendly than ever before! Simply visit https://varmouthma.portal.openqov.com/ to get tarted. There, you can effortlessly create your account and conveniently pay the registration fee. sing this upgraded system, you'll have the power to engage with us throughout the entire process. Not only n you securely communicate with our team, but you'll also gain access to your important documents, the @ to amke rU e tistra noThmrovedatformdSSeedntouoacinotosnamdchuomreSyooppspp perience smooth and efficient Smoke Oetectors and Carbon Monoxide Detectors are Required! Owners: I have ensured the batteries are changed, have tested ALL Smoke DetectQrs/Carbon Monoxide Detectors and verified that they are leis than 10 years old: Prease initial qTrt S Contact the Building Department regarding questions on type and location prior to purchasft 11rmouth.ma.us/etector A non-refundable application fee of $80 pef Uniurental is required. Rental Certificates expire on December 31"r, 2024. lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application & paymenl to: Town of Yarmouth Health Department. The Health Depadment willcallto schedule an inspection if required, upon of your application and fee All fields are re uired! lncom Rental Property lnformation lete forms without a valid hone # or email cannot be rocessed n nual XSeasonal Short Term less than 31 da S Rental PeriodRental Property Address: 76 Pine Grove Rd, South Yarmouth, MA 02 ouse X artment RoomDUlex Condo Rental ofTrash Removal by: owner X Tenant Mailing Address: 26 Kensington Avenue, Thornwood, NY 10594 Property Owner Name: Jay & Grace Singer (required)E-mail Address: PinegrT6@aol.com Alternale Phone No 914-741-5793908403-6109 one orequ rre flmary (required)E-mail Add ressPrimary Phone Noenep resen ncyAgenUAge ne S Furthermore. I understand I must notify the Health Department in writing when I am no longer renting the property' or I may be subject to fines and tses Sign Date:January 9,2024,w o le an thedcabapp!(if U itbseabaonIeoare ave re a am Yarmouth Short Term Rental BYlaw for Human Habitation) all of which a Revised:1 *