HomeMy WebLinkAboutRental Application2OZS Rental Registration Application
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Important Notice (PLEASE READ CAREFULLY):
Ifyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
office immediately! PIease be aware that untilyou receive a rental certificate from the Health Department, your
property is being rented without a valid certificate, which may result in fines and other penalties.
Submitting the registration application O@l! complete the process or guarantee the automatic issuance of
a rental certificate. Your application will undergo a *review process, which includes verification ofassessors'
records, septic system, the number ofbedrooms and previous inspections.
*An inspection may be required as paft ofthis process.
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A rurrefundable application fee of $80 per unit/rental is required.
Rental Certificates expire on December 31'\,2025.
To register online and pay via credit card, visit the Town of Yarmouth Health Department
your application online. After completing the initial steps, make your check payable to the Town of
Yarmouth, and be sure to include your BHR number (which will be provided during the online
application process) and your rental address. Make a note in the notes section that you will be
sending a check. Mail the check to the address above.
If NOT registering online, please make checks payable to: Town of Yarmouth and mail
completed application (on reverse side) & payment to: Town of Yarmouth Health Department.
See Reverse Side
rvebsite: https://you prefer to pay by check, you may beginwww.varmouth.ma.us/).27 /Health lf
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Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detecto"s/9*b"
Monoxide Detectors and verified that they are less than 10 years old: Please initiol>+
conlao the BuildinS Departmenl regard ing q uestio ns on typ€ and location prior to Purchasin&
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TOWN OF YARMOUTH
Health Deparlment
I I46 ROTITE 28, SOTITH YARMOUTH
MASSA('HT]SETTS 0266{
Telephone (50t) 398-2231. exr- 1240
Fax (508) 160-3472
E-mail: nrdalel 6varnrouth.ma,us
Please note that occupancy limits are in place based on septic capacity and the number of
bedrooms, These measures are in place to protect our drinking water and aquifers. As
Yarmouth prepares for a future transition to a town sewer system, these steps are crucial
for preserving our water resources. Previous occupancy determinations may be subiect to
adiustment based on the criteria mentioned above.
Please Print Clearly
Rental Property Information
or e-moil address will not processed
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Rental Period:
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Revised: 11 024
HEALTH DEPT
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Representative's E-mail Address:
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Furthermore, I understand r must notiry the Hearth Department in writing when I am no longer renting theproperty, or I may be subject to fines & fees,
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