HomeMy WebLinkAbout143 North Main Street paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472 RECEIVEDE-mail : epolite@yarmouth.ma.us
rAN 04 2024
The Town of Yarmouth is excited to announce that we've streamlined the onliFflEngi+fdilp?rocess to
make it more user-friendly than ever before! Simply visit https://varmouthma.porta l.openoov.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.
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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 **1--
Contact the Building Department regarding questions on type and location prior lo purchasrng
hltos J/www.varmouth ma.us/Document A/ieW 1 1 22 1 /Smoke-detector-!ocation
A non-refundable application fee of $80 pef Uniufental is required
Rental Certificates expire on December 31st, 2024
lf NOT registering online, please makechecks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Healtll De iment willcall to sclrcdule atl inspection if required, upon receipt of yout application and fee
Rental Property Address
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Rental Period:
Seasonal Short Term (less than 3'l days)Annual '
Trash Removal by:
ownery' Tenant
Rental of:
House__ Duplex_ Condo Apartment Room
Property Owner Name:
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l\,4ai ing Add ressl
It)4 uir(requi red)Primary Phone l\lo
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Alternate Phone No (required)E-mail Address:
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Owner's RaDresenAgenVAgenby
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tive/Rental 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 bes.
I Bylaw (if
which are
t.;Sign
I have read and lam fam lrar with the -own ofYarmouth Chapter tnSTenta
MA. State SanYarmouth Short Term Renta appljcable) and thefor Human Habitation) all of available on our website httos:-Proqramvarmouth.ma.u 423/RentalHousin
Date. I
Rental Property lnformation
All fields are r'uired! lncorn lete forms without a valid hone # or email cannol be rocessed
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Revised: 10i23/2023
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