HomeMy WebLinkAbout184 South Sea Ave #4 paper applicationApplication for 2024 Rental Registration
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TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231 , ext.1240
Fax (508) 760-3472
E-mail : epolite@yarmouth.ma.us
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.portal.oDenqov.com/ to get
started. There, you can efiortlessly 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
abillty 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 Detectofs/Carbon
Monoxide Detectors and verified that they are le-ss than 10 years old: Please initial / $
Contact the Building Departmenl regarding questions on type and localion prior lo purchasing
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A non-refundableapplication feeof $80 pef UniUreht?l is required.
Rental Certiflcates expire on December 31"r, 2024.
lf NOT registering online, please makechecks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required, upon receipt of your application and fee
All fields are re uired! lncom ete forms without a valid hone # or email cannot be essed
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Rental Period:
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Rental of
Property Owner Name
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Sign Date
Revised: 10/2312023
Rental Property lnformation
Rental Property Address:
House Z6uplex- Condo Apartment Room