HomeMy WebLinkAbout48 Todd Road paper applicationApplication tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02654
Telephone (508) 398-2231 , ext. 1240 RECEIVEDFax (508) 7 60-3472
E-mail: epolite@yarmouth.ma.us J/\N if 4 2024
The Town of Yarmouth is excited to announce that we've streamtineo tne onlineffihHio?Ep?o'""." ,o
make it more user-friendly than ever beforel Simply visit https://yarmouthma. porta l.ooenqov.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 leis than 1O years old: P/ease initiat WA---
Contacl the Building Department regarding questions on type and locahon pfior to purchaalng
ter^/iew/1 1221 /Smoke-detecloclocalionhtlos://www.varmoulh ma us/DocumenlC
A non-refundable application fee of $80 pef Uniufgntal is required.
Rental Certificates expire on December 31"', 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Deparlment
The Health Depaiment willcall to schedule au inspection it required, upotl receipt of your applicatiotl and fee.
Rental Property Address:),rit tcd.1 Kd
Rental Period:
Annual /Seasonal Short Term (less than 31 davs)
Rental of:
House,' Duplex Condo Apartment Room
Trash Remqxal by.
Owner_ Tenant_ _
Property Owner Name:Mailing Address:
ZO lt rr'l \ *1z..,.,/,rmt'Lr^-t /1,14 0;s+J
(required)Primary Phone No
)2 I J-"1
Alternate Phone No (required)E-mail Address
hP -1-nut 'cts('-l rt
Owner's Representative/RentalAgent/Agency
i,/
Primary Phone No
56\ I vL.il
(required )E -mail Address:
Furthermole, I under_stand I must notify the Health Department in writing when I am no longer renting the property, or I may besubject to flnes and Ees
L
apte srng
CodlBylaw
which a
anitary
Sign
I have read and lam famillar with the Town ofYarmouth Ch r t08 Rental Hou Bylaw 4 AntFNoise Bylaw,Jown ofYarmouth Short Term Renta (if applicable)and the State S e, Cha imum Standa rds of Fitnessfor Human Habitation) all of sinq-Proqramre avat la ble on our website. httos:rmouth /Renta lHo
Date: /
Rental Property lnformation
All fields are re uired! lncom lete forms withoul a valid hone # or email cannot be rocessed
/
Revisedr 10/2312023
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