HomeMy WebLinkAboutRental Application2025 Rental Registration Application
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TOWN OF YARMOUTH
Health Department
I t46 ROIITE 28, SOt rH YARMOI.iTH
MASSAC'H tlSE'l"l'S 02664
Telephone (50E) 398-22J1, ext. 1240
Fax (508) 760-3412
E-m ail : m d aleYfa-'\'a rm ou th. ma. us
Important Notice (PLEASE READ CAREFULLY):
f you do not receive your rental certificate within 30 days of sending in your application, please contact our
ffice immediately! piease be aware that untilyou receive a rental certificate from the Health Department, your
roperty is beingiented without a valid certificate, which may result in fines and other penalties.
ubmitting the registration application qg4! complete the process or guarantee the automatic issuance of
rental ce;tificate: Your application wiliii fr "
*."uiew process, which includes verification of assessors'
ecords, septic system, the number of bedrooms and previous inspections'
*An inspection may be required as part of this process'
.Pleasenotethatoccupancylimitsareinplacebasedonsepticcapacityandthenumberof
bedrooms' These me,su'es at" i" place io protect our drinking water and aquifers' As
Yarmouth prepares for a future tr;nsition to a town sewer system' these steps are crucial
forpreservingourwaterresources.Previousoccupancydeterminationsmaybesubiectto
adiustsnent based on the criteria mentioned above'
Ia
Smoke Detectors and Carbon Monoxide Deteciors are Required!
Owners: I have ensured the batteries are change d, have tested ALL Smoke Detectors C
Monoxide Detectors and verified that they are less than 10 years oldi Pleose initiol
Conract the BuildinB Depanment regarding questions on type and locataon priorto purchasin
hrtpsr / /wlgjyaLL}|I!.B!
n
ntCenter/View/ I l22l /Smoke-deteclor'location
Rental Certificates expire on December 31n' 2025'
Toregisteronlineandpayviacreditcard,visittheTo\,!,nofYarmouthHealthDepartment
website; https: / /www.varmouih.ma.us / 12 7 /Health If you prefer to pay by check, you may begin
y"'."ppffistepS,makeyourcheckpayabletotheTownof'Vrin,'"uit, and be sure to include your flR number lwtrictr witt be provided during the online
;;pl;i;; processJ and your."nlat address. Make a note in the notes secrion that you will be
sending a check. Mail the check to the address above
lf NOT registering online, please make checks payable to: Town of Yarmouth and mail
;;;;i"i;; appliclation (on reverse sideJ & payment to: Town of Yarmouth Health Department'
A rsrrefundable application fee of $BO per unit/rental is reqtt iretl
See Reverse Side
Please Print Clearly
Rental Property Information
All fields are required! Incomplete forms without a vali(l phone #, oddr'ess, or e-moil address will not processed.
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Rental Property Address
eekly/Short Term (less than 31 days) _
Rental Period
ea r-Round/Long Term
wner Tenan
Trash Removal by
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Representative's
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Revised: 11 024
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