HomeMy WebLinkAbout15 Hyatt's Circle paper application.t!:Application for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTSFIEIOEIVED
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472 ,1,\lj U 4 2024
E-mail : epolite@yarmouth.ma.us
I.IEALTH DEPT
The Town of Yarmouth is excited to announce that we've streamlined the online registration process t
ake it more user-friendly than ever before! Simply visit https://varmouthma. porta l.openqov.com/ to get
rted. 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
bility to upload photos, and much morel This improved platform is designed to make your registration
xperience smooth and efficient.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectorsicarbon
Monoxide Detectors and verified that they are less than 10 years old: P/ease initial \
Contact the Building Department regardjng questions on type and tocation pfior lo purchaiirtl '
oke'deteclor-locationhtlos:/lwww varmoulh ma us/Documentcentea^/iew/1'1221 /Sm
A non-refundable application fee of $80 pef uniufgntal is required
Rental Certificates expire on December 31"', 2024.
If NOT registering online, please make checks payable to Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
of your applicatiott and feeThe Health Depaftment will call to schedule an i ction if required. upon rece
Rental Property Address(5 l-lvc # is aL.K-
Trash Removal by:
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Property Owner Name:
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(required)E-mail Address
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hermore. I understand I must notify the Health Depaect lo fines and hes.A --1.'t ..L-/,u.' ,/ /"Jtcd
rtment in writing when I am no longer renting the property, or I may be
ar with the own o armout hapter
e MA.
nta ousing By Anti osenlal Bv
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law (if applicable) and th State Sanita ry code, chapter l\.4inimum Standa rds of Fitnessare available on our website httDs:/ch .yarmouth .ma.u 423/RentalHousin -Proqram
Yarmouth Short Term Re
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Sign Date: /
Rental Property lnformation
All fields are uired! lncom lete forms without a valid )hone # or email cannot be rocessed
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Revised: 10/2312023
Ulrt
Rental Period:
Annual-/Seasonal Short Term (less than 31 davs)
(required)E-mail Address:
RTNTAL 15 HYATT'S ClR
DAVENPORT DEWITT TR
20 N MAIN ST
SOUTH YARMOUTH, MA 02664