HomeMy WebLinkAbout17 Nickerson Farm Way paper applicationApplication tor 2024 Rental Registration
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TOWN OF YARMOUTH
Health Department
1,I46 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231, ext. 1240
Fax (so8) 760-3472 IIECEIVED
E-mail: epolite@yarmouth.ma.us
IAN 04 Z0Z4
The Town of Yarmouth is excited to announce that we've streamlined the onlane r<il6$I{&fr BEEIss to
make it more user-friendly than ever before! Simply visit https://varmouthma.portal.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.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Carbon
Ivlonoxide Detectors and verified that they are lels than 1O years old: P/ease initial ALI'-
Conlacl the Building Deparlmenl regarding questions on type and location prior to purchasing.
ulh ma us/DocumenlCenletNiewl 1 1221 rl
A non-refundable apptication fee of $80 pef UniUfental is required
Rental Cedificates expire on December 31sr, 2024
lf NOT registering onlane, please makechecks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department
The Healtlt Depaiment will call to sclteclule an inspection if required, upon receipt of you application and fee
Rental Property Address:
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Rental Period:
Annuall Seasonal Short Term (less than 31 days)Trash Removal by:
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Rental of
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l\4ailing Address
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5J03:lll"|:na!gf;rstand I must notifv the Health Department in writjng when I am no tonger renting the property, or I may be
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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: 1Ol23l2023
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(requrred)Pfl mary Phone No.(required)E-mail Address:
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