HomeMy WebLinkAbout105 North Main Street paper applicationApplication for 2024 Rental Registration
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TOWN OF YARMOUTH
Health Department
1146 RoUTE 28, SourH YARMoUTH, MASSA-GHUSETTS 02661QgCE1VED
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472 -\N U 4 2024E-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 it more user-friendly than ever before! Simply visit https://varmouthma. portal.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 lels than 1O years old: P/ease initial fu -Contact the Euilding Department regarding questions on type and locatron pfior to purchasis6'
httos://www varrnoul ma us/DocumentCentet Niew I 1 1 221 lSmoke-deteclor location
A non-refundabte apptication fee of $80 pef Uniufgntal 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 will call to scltedule an inspection if required, upon receipt of yout application and fee.
Rental Property Address
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Rental Period:
nnual y'Seasonal Short Term less than 31 da S
Trash Removal by:
o*ner / Tenant ouse rtment Room,/ou lex Condo
Rental of
Property Owner Name:
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Mailing Address:
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Alternate Phone No (required)E-mail Address
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epresenn"lAgent/AgeerS
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Primary Phone No
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(required)E-mail Address
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Furthermore. I understand I must notify the Health Department in writing when I am no longer renting the property, or I may besubject to fines and €es.
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mil tar wtYarmouth Shorl Term Rental Bylaw (rf applicabte) and thefor Human Habttation) all of which are available 6n our web
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Code, Chapte
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Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be rrocessed
LLC
Revised: 10/2312023