HomeMy WebLinkAbout29-31 Wampanoag Road paper rental application)ito '1, I $ldr),^-fpY,Re^t^t lteN'
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETT
Telephone (508) 398-223'l , ext. 1240
Fax (508) 760-3472
E-mail : epolite@yarmouth.ma.us 11AR
HEI
1 12074
LTH DEPI
rocessThe Town of Yarmouth is exciled to announce that we've streamlined th
ake it more user-friendiy than ever before! Simply visit h /to get
tarted. There, you can effortlessly create your account and conveniently pay the registration fee
sing this upgraded system, you'll have the power to engage with us throu hout the entire process. Not onl Y
n you securely communicate with our team, but you'll also gain access your important docume , the
bility to upload photos, and
xperience sm6-dlh-h?Ieffic
much more! This improved platform is designed to make your registration
ient.
Rental Property lnformation
All lields are re uired! lncom ete lorms without a valid hone # or email cannot be rocessed
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectorg-Car
Monoxide Detectors and verified that they are lels than 1O years old: P/ease initiat ,V^
Contact the Building Department regarding questions on type and location prior to purchasing.
httos://www yarmouth ma us/DocumentCenter^y'iew1 1221lSmoke-deleclor-location
bon
A non-refundable apptication fee of $80 pef UniUfgntal is required.
Rental Certificates expire on December 3'1"t, 2024.
lf NOT registering online, please make checks payable to: Town of Yannoufi and rnail cornpleted application &
payment to: Town of Yarmouth Health Department.
The Health Depaiment willcallto schedule an inspection if required, upon receipt of your application and fee.
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Rental
Property Owner Name Pa,,^/ Qat'u1 Mailing Address:'L1 5. V'*t 5+ ,,4C,1
(Eos)?da- lg?2_
requ flmary one o Alternate Phone No (required)E-mail Address
y*s ?t1o dl,can
epresenncy eS
AgenUAge Primary Phone No
fy the Health Department in wriling when I am no longer renting the property, or I may be
sino-Prooram
Rental Bylaw
allof which a
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odC
ma
/r/2"fr4Sign
(if applicable) and the State Sanitarvhftos://wwr,i e, Chapter
re available on ourwebsite rmouth 423/RentzlHo
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Yarmouth Short Term
for Human Habitation)
rt rmoheuF UN ladersndre stmu noti
USb cte o fin aES dn
Date
Revrsedr 10/2312023
A-
Application lor 2024 Rental Registration
I
(required)E-mail Addressl