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Application for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS
The Town of Yarmouth is excited to announce that we've streamlined the online registration process to
make it more user-friendly than ever beforel Simply visit
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 wrth us throughout the enttre process. Not only
can you securely communicate with our teain, bu1 yoLl'li also gain access to your important documents, tlte
ability to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
armouthma ohtt:l n om
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epolite@ya rmouth. ma. us
to get
Smoke Detectors and Carbon [Vlonoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectprs/Carbon
Monoxide Detectors and verified that they are le-ss than 1O years old. P/ease nfiftfu-
Contact the Building Department regardtng questions on type and locahon prior to purchagng
ler/View/1 1221 /Smoke,deteclor localionhtlos://www varmoulh.ma.us/DocumentC
A non-refundabte apptication fee of $80 pef UniUfgntal is requrred
Rental Certificates 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 Depadment willcallto schedule an inspection if required, upon t of your application and fee
All fields are re uiredl lncom lete forms without a valid hone # or email cannot be essed
Rental Property Address
l,t , tL-h-L he nnua I SSeasonal Short Term less than 31 d
Rental Period
Trash Removal by
Owner Tena nt eouse Du rtment Room
Rental of.
Condo A
Property Owner Name
Jc*.hu^ o Lisc Cont-(Lo lAtqchtsVr U {^r^-*
Mailing Address
lfi'fut:' Lwql
requrre r|mary one o Alternate Phone No
fig_T(a " 1r5l
(required)E-mail Address
(cnntl\.\''.>-,yO,
eneSeresep
encgent/Ag v
Primary Phone No (required)E-mail Address
I must notify the Health Department in writing when I am no ronger renting the property, or I may be
Date L
apte ap
r llI Bylaw
which a
Sign L
ve re an am m armout t1 nla ousr ter 104 AW own oYarmouth Short Term Renta (if applicable) and the State Sanita ryC Chapte Minimum Standa rds of Fitnesse on our website. httos:/for Human Habitation) allof re availabl .varmouth.ma-u 423lRentalHousin -Prooram
Furthermo lunderstsubject to s and
Revisedr 10/3
Rental Property I nformation
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