HomeMy WebLinkAbout34 Anthony Road paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (5OB) 398-2231 , ext. 124O
Fax (so8) 760-3472 RECEIVED
E-mail: epolite@yarmouth.ma.us JAN 0 4 Z0Z4
The Town of Yarmouth is excited to announce that we've streamtineo tre onrin$&LrsiEtiSh'i,io.".. to
make it more user-friendly than ever before! Simply visit https://varm outhma. porta Looenqov. 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 morel 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 W
Contact the Building Deparlmenl regarding queslions on type and locatron p or to purchaaing.
A non-refundable application feeof $80 pef UniUfental 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 &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcall to sclteciule an inspection il required, upon receipt of your application and fee
All fields are re uired! lncom ete forms without a valid hone # or email cannot be lrocessed
1^O2Jr'J*
Rental Period:
Annual y' Seasonal Short Term (less than 31 days)
Rental Property Address:
Rental of:
House /Drolex condo Apartment Room
Trash Removal by
Owner y' Tenant
Property Owner Name
-.)l-.t. \r( n \)( ,- \ r<-IYt rY \*r mo*l'h ILI\T
(required)E-mail Address:(required)Primary Phone No
)
Alternate Phone No
Primary Phone No
5us /Cc ill I
(required)E-mail Address:(fwner's Representative/Rental
AgenVAgency
Da-vttr 1, i r.'- :'-r-r r ti-.[
I must notify the Health Department in writing when I am no longer renting the property, or I may be
/^) "-----1,-lLLn--, / AJL-aSign Date: I
Yarmouth Short Term Rental Bylaw (rf applicable) and
for Human Habitatron) all of which are available on ou
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423lRental Housinq-Prooram
Furthermore, I understand
subject to fines and bes
Revised: 10/2312023
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https //www varmouth ma.us/DocumentCenterNieW 1 1221lSmoke-detector-localion
Rental Propefi lnformation
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