HomeMy WebLinkAbout140 Wendward Way paper applicationApplication tor 2024 Rental Registration
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TOWN OF YARMOUTH
Health Department
REdElgEOurE 28, sourH YARMourH, MASSAGHUSETTS 02664
Telephone (508) 398-2231 , ext. 1240
JAN 2 4 2024 Fax (508) 760-3472
E-mail : epolite@yarmouth.ma.us
HEALTH DEPT
The Town of Yarmouth is excited to announce that we've slreamlined the online registration process to
make tt more user-friendly than ever beforel Simply visit httDs://varmouthma. portal.openqov.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 reglstration
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
I\ilonoxade Detectors and verified that they are less than 10 years old Please in
Contact the Euilding Department regarding questions on type and location prior to pu.chasing
httos://ww!v.varmouth ma us/DocumenlCenterNieWl 1 22'1 /Smoke,detector-location
Carbon
A non-refundable application fee of $80 pef UniUfgntal is required.
Rental Certificates expire on December 31sr, 2024.
lf NOT registering online, please make checks payable to: Town of Yanmuh and rnail conpleted application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon receiptof yourapplication and fee
Renta I Property lnformation
All fields are re uired! lncom ete forms without a valid lone # or email cannot be rocessed
Rental Prooertv Address:t+t, wE]lswa.qr\ \.vAV
W.Yo=n rruth. r.{l, ozb,Z Xseasonal_ Short Term (less than 3'l days)An n ual
Rental Period
Trash Removal by:
Owner_ Tenant X
Rental of:
uplex_ Condo_ Apartment RoomHo
Prooertv Owner Name:,a-u xrri+A J 1a- 1- t S &o9fu- Z Et)*t-*-FF-r'J{_ L-L (-Lla Mailino Address:*fu**qA oetsoB(requi red)Primary Phone l\lo.
Eots -5612 -Lot z Z
Alternate Phone No (required)E-mail Address:arlin3os6t rr't-c.ail. tovt
owner's Representatr!eTRentaIAgenUAgencyNA
Primary Phone No (required)E-mail Address
Furthermore. I understand I must noliry the Health Department in writing when I am no longer renting the property, or I may besubject to lines and €es.
o"," ^L"a, Zl , zoza
ino-Prooram
ar ng
od
sis
Rental Bylaw (if applallof whrch are avai
icable) and the State Sanitary C Chapter
site. h ttos: //ww\,\,r. vlableon our web rmouth.ma.us 423lRenta lH
and I arrYarmouth Short Term
for Human Habitation)l\4inimum Stand ards of Fitness
G,tr+oLi"-
Revised: 10/2312023