HomeMy WebLinkAboutRental Application2OZS Rental Registration Applicationd
Ifyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
fnce immediately! Please be aware that until you receive a rental certificate from the Health Department, your
roperty is being rented without a valid certificate, which may result in fines and other penalties.
ubmitting the registration application does not complete the process or guarantee the automatic issuance of
rental certificate. Your application will undergo a *review process, which includes verification ofassessors'
cords, septic system, the number ofbedrooms and previous inspections
*An inspection may be required as part ofthis process.
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
adjustment based on the criteria mentioned above.
Smoke Detectors and Carbon Monoxide Detectors are Required!
Ovmers: I have ensured the batteries are changed, have tested ALL Smoke Detectors/CarDOn
Monoxide Detectors and verified that they are less than 10 years old: Please initiolDT$-
Contact the Building Deparhent reSarding questions on tyPe and location priorto purchaslnS
httos //www.varmouth.ma.us/DocumeI )tCenter/vaew/11221/Smoke-
A rsrrefundable application fee of $80 per unit/rental is required.
Rental Certificates expire on December 31n,2025.
To register online and pay via credit card, visit the Town of Yarmouth Health Department
you. "ppli.rtion online. After completing the initial steps, make your check payable to the Town of
Yrrrnouth, 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 ofYarmouth Health Department.
See Reverse Side
website: https://www.yarmouth.ma.us/ 727 /Health lfyou prefer to pay by check, you may begin
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TOWN OF YARMOUTH
Health Depa rtment
r I46 ROTITE 2t. SOUTH YARMOUTH
MASSA('}I I.ISETTS 02664
Telephone (508) 398-2231. ext. l24O
Far (508) 760-3472
E-mail: mdaleyayarmouth.ma.us
Important Notice (PLEASE READ CAREFULLY):Ia
Please Print Clearly
roperty lnformation
o volid phone #, address, or e-mail address will not processed.
All fields are required! lncom
Rental p
plete lorms without
REGE0v,iED
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HEATTH DEPT.
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Rental Property Address
eekly/Shon Term (less than 31 daysJ _
Rental Period:
ear-Round/Long Term
ner Tenan
Trash Removal by
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Rental of
Stn,qvrl4 'TEna6/ c-roperty Owner Full Name:(req u iredlEntire Mailine//o -ba*-rA S Add ress:/,ot * h1k__d* Jal/es/ eE - ?Zo-r&
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requlre onermary um er Alternate Phone Number:(required)E-mail Address:
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Representative's Primary Phone
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Furthermore, r understand r must notify the Health Department in writing when r am no longer renting theproperty, or I may be subiect to fines & fees.
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Revised: 11 024
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