HomeMy WebLinkAbout70 Camp Street paper applicationBH4 1v- y7-n{.4ds
@ Apptication torlo24R@tion
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02554
The Town of Yarmouth is excited to announce that we've streamlined the online
ndly than ever before! Simply visit httos://varmouthma. oortal.openqov.com/ to get
started. There, you can effortlessly create your account and conveniently pay the registration fee.
Using this upgraded eystem, yot-r'!l have the power to en3agF with us throuohout the entire process. Not only
can you securely ccrnrnunicate ',vith our team, but you'ii also Eain access to yoijr iinpodant docurrrer ri.s, tire
ability to upload photos, and much morel This improved platform is designed to make your registration
experience smooth and efficient.
#
make it more user-frie
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail : epol ite@yarmouth.ma.us
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectorsicarbon
Monoxide Detectors and verified that they are less than 1O years old: Please initial 4*
Contacl the Building Deparlmenl regarding queslions on type and locatron prror to pr.:rcha3lng
moke'detector-locationma.us/DocumentCenlet Niewl 1 1221 lShltos //$/ww varmoul
A non-refundable apptication fee of $80 pef UniUfgntal is required
Rental Certificates expire on December 31s', 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment will call to scltedule at1 inspection if required, upon receipt of you r application ancl fee
Rental Property lnformation
All fields are re uiredl lncom lete torms without a valid hone # or email cannot be ocessed
Rental Property Address
nn ual
o artment Room
less than 31 da SeasonShort Terma
DU lex CondoTenant
al byTrash Re
Rental Period
Rental of:
o*ner y/ .
Property Owner Name
Ja,nnetfu'/oS,1n
Mailing Address:
lirsoYleoso*sf Cbnfu Hrt ole*l
6 / 7- &?7-4 72
Alternate Phone No (required)E-mail Address
sD?-25r,206
Primary Phone No (required)E-mail Address
SrLu,,*/Qy'"/oa.o^
3:[,lTi:"J.Tfr"t*nd I musl notrfy the Health Department in writing when I am no longer renting the property, or I may be
mary ne
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applicable) and the State Sanita e Chapter
423lRenta lHousinavailable on our website. httDs:/-Proqram.varmouth.ma.u
Yarmouth Shorl Term Rental Bvlaw {rf
for Human Habrlatron) altof which aie
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Revis 1012312023