HomeMy WebLinkAbout20&22 Seaview Rental Application Received 4.30.2026t)a|/
,ffi} Application for zp4Rental Registration
TOWN OF YARMOUTH
Health Department,I146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (5OB) g9B-22A1, ext. 124O
Fax (508) 760-3472
E-mai I : epol ite@ya rmouth. ma. us
user-friend visit https ://varmouthma. po4aLppeoqpvceln/
,unt and conveniently pay the registration fee.
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Anon-refundabteapptication feeof $80 pef UniUfental i" required
Rental Certlficates expire on December 31"t,2O24.
lf NoT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
a
a and fee,The Healtlt ofwillcalltoschedule an if
Rental Property lnformation
fonns withati a valid rc # or etnail cannot be sseci.
Rental Property Addiesi:@
'M^ fu.<tye vJ P7:'' "Q- wi ct Nd*(
r/D{seasona I Short Term (less than 31 davs)Ann
Rental Period.
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Trash Removal by:
Tenant
Rental of:
House Duplex Condo Apa .t,.nend/Roorn
Property Owner Name:
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y'lVailing Address:
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(requrred)Pnmary Phone No.
77i.1 -5"5 2*-r'f8 g Alternate Phone No.(required)E-mail Address
Owner's RepresentatiyO/fl entaAsent/Asency ir/l -<L.
I Primary Phone No (requi red)E-mail Address
lhave readandldmfamiliarwiththeTown of Yarmouth Chaoter 108 Rental Housino Bvlaw. Chapter 104 Anti-Noise Bvlaw, Town ot
Yarmouth Short Term Rental Bylaw (if applicable) and the tilA. State Sanitary CoEe,'Chapter il 1tt/inimum Standards of Fitness
for Human Habitation) allof which aie aV'ailabte 6n ourwebsite. https://www.varmouth.'ma.usi423lRentalHousinq-Proqram
I must notify the Health Department in writing when I am no longer
{r+{ >1-' 1-gDate:
the property, or I may beFurthermore, I understand
subject to fines and fues
$ir;roke Dete*tors and Carbon Detectors are Required!Owners: I have ensured the batteries are changed, have tested ALL Smoke
[/onoxide Detectors and verified that they are less than