HomeMy WebLinkAbout8 Hyatt's Circle paper applicationApplication for 2024 Renta! Registration
moke Detectors and Carbon Monoxide Detectors are Requiredl
owners: I have ensured the batteries are changed, have tested ALL smoke Detectors/carbon
Monoxide Detectors and veriiied that they are less than 10 years old: p/ease initial a
Contact the Building Department regardrng queslions on type and tocation prior to purchasiig
/1 1221 /Smoke-delector,localionhltps //www.varmouth ma us/DocumentCenlerMiew
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A non-refundabte apptication feeof $80 pef UniUfgntal is requrred
Rental Certificates expire on December 3'1.r, 2024.
lf NOT registering online, please make checks payable tor Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Depa(ment.
pon receipt of yourapplication and feeThe Health Depaftment will callto scltedule atl it}speclion if required, u
Rental Property Address
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Trash Remoffil blr
Owner / Tenant
Rental Period
Annual ,,/ Seasonal Short Term (less than 31 days)
Rental of:
House' Duplex Con do_ Apartment_ Room
Property Owner Name
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[/lailing Address
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(required)Primary Phone l\lo
5 )/" a)lt))e7 3
Alternate Phone No (required)E mail Address
Owner's Representative/RentalAgent/Agency
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Primary Phone No
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(required)E mail Address.
I have read and lam familiar with theTown ofYarrnout apter nta ousing By apler 1
r ll (N4i
.usl42
ntr-Noise Bylaw,Yarmouth Shorl Term Rental Bv
for Human Habitation) all of whi
law (if applicable) and the State Sanitary Code, Chapte nimum Standards of Fitnessch are available on our website httos://ww,armouth.ma 3i Renta lHousino-Proqram
Furt
subj
Sign
hermore. I understandect to fin'es and bes/')L-(n,-u
I must notify the Health Department in wrating when I am no longer renting the property, or I may be
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Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
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Revised: 10/23/2023
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TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240 RECEIVEDFax (508) 760-3472
E-mail: epolite@yarmouth.ma.us ,JAN 04 2024
* rn" ro*n of Yarmouth is excited to announce that we've streamtined the ontine .."U,Eflo'# Brt":Ja, *
make it more user-friendly than ever before! Simply visit hftps://varmouthma.portal.openqov.com/ to get
started. There, you can effortlessly create your account and conveniently pay tne registration tea
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
3xperience smooth and efficient.
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RtN]AL.8HY/iTT.SCIR
DAVENPORT DEWITT TR
20 N MAIN ST
SOUTH YARMOUTH, MA 02564