HomeMy WebLinkAbout283 Long Pond Drive paper applicationTOWN OF YARMOUTH
Health Department
1146 RoUTE 28, SoUTH YARMOUTH, MASSACHUSETTS o26Q(gCEIVED
Telephone (508) 398-2231, ext 1240
Fax (so8) 760-3472 .,N U 4 Z0Z4E-mail : epolite@yarmouth.ma.us
HEALTH DEPT#The Town of Yarmouth is excited to announce that we've streamlined the online registration process to
make lt more user-friendly than ever before! Simply visit httos://varmouthma.oorta l.openqov. 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 leis than 1O years old: P/ease initiat 4\a--
Contact the Building Departmenl regarding questions on type and localron pnor to purchasinti.
httos://\,1/ww.varmoulh.ma us/DocumenlC terny'ieWl 1221lSmoke detector-location
A non-refundable application fee of $80 pef UniUfenta! 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 Department.
The lleatth Depaftment will call to sclledule an inspection if required, upon receipt of your application aDd fee
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rocessed
Rental Property Address
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Rental Period:
Annua[ Seasonal Short ferm (less than 31 days)
Trash Removal by:
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Rental of
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Mailing Address
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(required)E-mail Address
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*fi!:nflrulgf;rstand I must notifv the Health Department in writing when I am no tonger renring the property, or I may be
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Revised. lO/2312023
Application tor 2O24 Rental Registration
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