HomeMy WebLinkAbout18 Sleighbell Lane paper rental applicationLr2l \c.g\ rr
Application tor 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUS
Telephone (5O8) 398-2231 , ext. 1240
Fax (508) 7 60-3472
E-mail: epolite@yarmouth. ma. us
The Town of Yarmouth is excited to announce that we've streamlined the online registration process t
sing this upgraded system, you'll have the power to engage with us throughout the entire process. Not only
n you securely communicate with our team, but you'll also gain access to your important documents, the
bility to upload photos, and much more! This improved platform is designed to make your registration
xperience smooth and efficient.
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HEALTH DEPI
l-it hft ps://varmouthma.portal.ooenqov.com/kae mo u fri den nha e rseVE before S m rsly to etpY(t
herTrted uo effodlcan sles creaete rU coac nu a dn oc VEnn a he St orati feenvvyopntlyYreg
Smoke Detectors and Carbon Monoxide Detectors are Required!
owners: I have ensured the batteries are changed, have tested ALL smoke Detectors/carbon
Monoxide Deteclors and verified that they are less than 1O years old: ptease tniti
Contact lhe Building Department regarding questions on lype and location prior to purcha
al
sing
rmouth ma us/Document terview/1 1221lSmoke-deteclor'location
A non-refundabte apptication fee of $80 pef Uniufgntal is required
Rental Certificates expire on December 31"', 2024.
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to; Town of Yarmouth Health Department.
on receipt of yout application and feeTlrcaltDtIaute\v cal o cS edli eep an teq
Rental Property Address
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Property Owner Name
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atling Address
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requr nmary one o Alternate Phone No (required)E-mailAddress ta
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enIVepresenncyAgent/AgenerS Primary Phone No (required)E-mail Address:
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Furthermore. I understand I must notify the Health Department in writing when I am no longer renting lhe property, or I may besubject to fines and bes.
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Rental Property lnformation
All fields are uired! lncom lete forms without a valid hone # or email cannot be essed
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Revised: 10/2312023
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Rental Period:
Date