HomeMy WebLinkAbout41A Bradford Road paper applicationApplication tor 2024 Rental Registration
TOWN OF YARMOUTH
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HEALTH DEPl E-mail: epolite@yarmouth 'ma' us#The Town of Yarmouth is excited to announce that we've streamlined the online registration process tomakeitmoreuSer.friendlythaneVerbefore!Simplyvisit@toget
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 cornmunicate with our team, but you'll also gain access to your important doouments, 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 less than 10 years old: P/ease initial
Contact the Building Department regarding questions on type and location priorto purchasing
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A non-refundableapplication feeof $80 per uniUrental is required.
Rental Certificates expire on December 31"1, 2024.
lf NOT registering online, please make checks payable to: Town of Yannouth and rnail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaiment willcallto schedule an inspection if required, upon receipt of yourapplication and fee
Rental Property lnformation
All fields are re uired! lncom ete forms without a valid hone # or email cannot be rocessed
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less than 31 dnua S
Rental Period
Seasonal Short Term
Rental Prooertv Address: n , !
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Rental ofTrash Removal by:
Owner Tenant
Mailino Address:
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Prooertv Owoer Name:&rir+4: Drn4 rV(- er+,^ VP.x3t E-r,/
(required)E-mail AddressAlternate Phone No.requr flmary one o
(required)E-mail Address
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Primary Phone No
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I must notify the Health Department in writing when I am no longer renting the property' or I may be
Sign ) Date 3t
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ar Minimum Standa s of FitnessState Sanitary Co e,Chapter lHousiRental Bylaw
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subject to fin'es and t€s.
Revised: 10/2312023
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