HomeMy WebLinkAbout64 North Dennis Rd paper applicationApplication for 2O24 Rental Registration
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 Wy
Contacl the Building Department regarding questions on type and locatton pflor lo purchasi16.'
nter^/ieW 1'l 221 /Smoke-detecior-locationhtlos //www varmouth ma us/DocumenlC
A non-refundable apptication fee of $80 pef UniUfental is required.
Rental Certificates expire on December 3.1"t, 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department
'equired, upon receipt of your application and feeTlrc Health Depaftment will call to scltedule an inspectiotl if !
Rental Propefi Information
All fields are rec uired! lncom ete forms without a valid hone # or email cannot be rocessed
Rental Property Address:
[o+ v,. r]t-Dr,rrr,5 i Annual Seasonal Short Term (less than 31 days)
Rental Period
Trash Removal by:
Owner____rl Tenant
Rental of:
House z/Duplex Condo Apartment RoomProperty Owner Name;\-r'r v!/rl,(, t f,. ti/ |It
Mailing Add ress:
LlA, ^o",-14 / /l c zcett.J
Alternate Phone No (required)E-mail Address
n rt S
req ur maty one
j
IV
r ua)
o
I4\
en aSeSrenep
nell enAgAgcy Primary Phone No
I I
re U E-ma dd reqSS
K0rd-r lrr " t,i
5,Yfflsi',lfiiJ.grt8rstand I must notifo the Health Department in writing when I am no longer renting the propeny, or I may be
ousl
arm
,,i7l/-ttaj
p SE
rs
Sign
w Cha ter 1 By ownChapterMinimum Standards of Fitnessma3/R o ust
Date: /I
lBylaw
which a
VE aad a m am h the o n aY ormU h aYarmothUhortSTeRrmntaeabticaenadheppl
H ufom na aHb tat no a o re a ai bta one Uo sbite
nitary CA. State Sa
Ren
Revisedt 1O/23/2023
Ltl
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (so8) 398-2231 , ext. 1240 RECEIVED
Fax (5OB) 760-3472
E-mail: epolite@yarmouth.ma.us IAN U 4 2024
W IEALTH DEPrifiF Th" To*n of Yarmouth is excited to announce that we've streamlined the online registration process t(
make it more user-friendly than ever before! Simply visit https://varmouthma.portal.oDenoov.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.