HomeMy WebLinkAbout248 Camp Street Unit B1 paper application)I
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Application tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epo lite@ya rmouth. ma. uswT fne Town of Yarmouth is excited to announce that we've streamlined the online registration process to
make it more user-friendly than ever before! Simply visit https://varmouthma.portal.openoov.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 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 1O years old: P/ease initial \lL
Contact the Building Department regarding questions on type and location prior to pu.chasing.
hliosr//www.varmouth ma.us/DocumentcenlerA/iew/1 1221lSmoke-deleclor-location
A non-refundable application feeof $80 pef UniUfental is required.
Rental Certificates expire on December 31"t, 2024.
lf NOT registering online, please make checks payable to: Town of Yannouth and rnail conpleted applicatron &
payment to: Town of Yarmouth Health Department.
The Health Depadment willcallto schedule an inspection if required, upon receipt of your application and fee.
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
Rental Prooertv Address:C+lE C"xPi;r '.1*tTBluJa--5T VARHoir'TH
Rental Period:
Annuall Seasonal Short Term (less than 31 davs)
Trash Removal by:
Owner Tenant X
Rental of:
Duplex CondoX Apartment RoomHouse
Property Owner Name:
!,tqRos cnuVoo
Mailing Address: o4.63.L
Q.J. uks-T)lrN5-Tan \D oer-renviur(required)Primary Phone No
soE,Y3I_ 955)
Alternate Phone No
5ot"&\4" YtY3
(required)E-mail Address
hcP@is qe 0 Ho-I VnlL.coHOwner's Representative/Rental
Agent/Agency Primary Phone No (required)E-mail Address
he Health Department in writing when I am no longer renting the property, or I may be
I have read and larr familiar with the Town of YanrDutfr
Yarmoulh Short Term Rental Bylaw (if applicable) and
for Human Habitatron) all of whrch are available on ou
Cl'rapter 108 Rental Flousing Bylaw. Chapter 104 Antr-t{cise Bylaw Towr ol
the MA. State Sanitary Code, Chapter ll (Minimum Standards of Fitness
r websrte https:i /www.yarmouth.ma,us/423/Renta lHous in q-Proq ra m
lL- /z - 23DateSign
d I must notiFurthermore. I understansubject to ,ines and €es.
Revised
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