HomeMy WebLinkAbout2 Nicole Avenue paper applicationApplication for 2O24 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240 R=CEIVEDFax (508) 760-3472
E-mail: epolite@yarmouth.ma.us IAN U4 2024
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. 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 leis than 1O years old. Please initiat fu-.
Contact the Building Departmeni regarding questions on type and location pflor to purchrsing.
ulh ma us/DocumenlCenter^./ieWl 1 221lSmo -d r-l
A non-refundable application fee of $80 pef UniUfgnta! is required
Rental Certificates expire on December 31"t, 2024.
lf NOT registering online, please makechecks payable to: Town of Yarmouth and mail completed applicalion &
payment tor Town of Yarmouth Health Department.
The Health Depaiment will call to sclledule aD inspection if required, upon receipt of your application and fee
Rental Property Address:
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Rental Period:
AnnuallZ'Seasonal Short Term (less than 31 daVS)
Trash Removal by:
Owner_y!_ Tenant House l Duplex_ Condo_ Apartment Room
Rental of.
Property Owner Name:
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N4ailing Address
(requrred)Primary Phone No
2L'|VS5t573
Alternate Phone No ( requ red)E mail Addr.:ss
Owner's Represent-liveTRental
Agent/Agency Primary Phone No
5c,5 ' 11ru I Jtl (requi red)E-mail Address
Kartv a-C duvzA pr,, ft ti-tt
5,Yfi33[']Hiil.T"af rstand I must notifv the Health Department in writing when I am no tonger renting the properry, or I may ber)L4^-
phntaa Antr-rse vpter
Sign
lh the armouth apter ousrng terRental Bylaw (if applicable) aallof which are available on
nd the State Sanita ry Code, Cha l\.4inimum Standa rdsour website. https:.yarmouth ma-u 423/RentalHousin
Url Date: /t!
Yarmouth Short Term
for Human Habitatjon)
VE a am
of Fitness-Proqram
own o
Rental Property lnformation
All fields are re uired! lncom lete forms without a valid hone # or email cannot be ocessed
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Revised: 10/2312023
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