HomeMy WebLinkAbout24 Mars Lane paper application@ Application for 2024 Rental Registration
#
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02564
Telephone (508) 398-2231, ext. 't24O
Fax (508) 760-3472 IIECEIVAa]
E_mail: epolite@yarmouth.ma.us ;i,N l.:; lj/?a,
The Town of Yarmouth is excited to announce that we've streamlined the online fEffiIf,bliffitess to
make it more user-friendly than ever before! Simply visit https://varmouthma. 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 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 10 years old: P/ease initial A
Conlacl the Building Deparlment regarding questlons on type and location pflor to purcha6it-q.
A non-refundable apptication fee of $80 pef UniUfental 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 lo: Town of Yarmouth Health Depa(ment.
T,lrc e I Depat7 e I VT c ta sC l d e a )/?specttan tequ red pot aeipt a you applicaI o td tee
Rental Property Address
l\-!J1<-+ N'ta t/seasonal Shnnual less than 31 da Sort Term
Rental Period
Trash Removal by:
^,/ownet L/ I enant OUSE Roomartment/ou lex Condo
Rental of:
Property Owner Name:Mailing Address
Zc ;..r'r\rt tt ( 011c,)f i4-L4 \)f ), rn^requi
t)(
one
,).i
o
).)
mary Alternate Phone No (required)E,mail Address
lJtlve npa'I
en
l(1.>lk
neprese
ncyAgent/Age
ner S Primary Phone No
5c5 -'lUD .)1
(requi red)E-mail Address
6r a,v all f,uttu fl r(4,1f
51fi!:nfiru!9,#rstand I must notifv the Health Department in writing when I am no tonger renting the property, or r may be
I Bylaw
which a
a the nta hap
r ll rse
.l
ve re arn ml Yarm apter ngYarmouth Short Term Renta (if applicable) and the State Code,Chapte Minimum Standa rds of Fitnessfor Human Habitation) ail oi re available on our website. httD rmouth.a.us 4231RentalHo sino-Pr ram
Sign a,rr-7L Date
Rental Property lnformation
All fields are re uired! lncom ete forms without a valid hone # or email cannot be rocessed
r
Revised: 10/2312023
(L41
hltos //wwwvarmouth ma us/Documenloenter^/iew 1 1221lSmoke detectoGlocalion
,