HomeMy WebLinkAboutNot Renting Affidavit 08_05_2025Y.{TOWN OF YARMOUTH Board of
Health
Health
Division
AFFIDAVIT
Residential Property Not Offered for Rent
Date: 81s 1ts
Owner's Name:?\\:tr? B ne.r,.,
Address 2-\
City lSt^telZIP
Phone/Email:LLs.
Yarmouth Property Address
Address:
Citv/state/zIP 1
I I46 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTSO2664-2445I
Telephone (508) 398-2231, ext. l24l
Fax (508) 760-347?
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t,am the owner ofthe above-referenced
property, as verified by the Town of Yarmouth Tax Records. I hereby confirm that the
dwelling/unit/apartment mentioned above is not currently rented or is being oft'ered for
rent.
I am fully aware that according to the regulations of the Yarmouth Health Department,
any residential property that is offered for rent or lease must be registered, and a Rental
Occupancy Certificate must be issued.
Therefore, I understand that ifI decide to offer my residential property for rent in the
funre. I must adhere to the lollowing steps:. Register with the Yarmouth Health Department.o Obtain a Rental Occupancy Certificate in accordance with Chapter 108 ofthe
Occupancy of Buildings regulations. A rental inspection mav be required.
By signing below. I acknowledge my understanding of these requirements and commit to
complying with them when and i offer my property for rent in the future
Owner(s) Signature
Please retum this affidavit to the Yarmouth Health Department at the following address:
Yarmouth Health Department I146 Route 28 South Yarnrouth, MA. 02664
Or email: sprovos@yarmouth.ma.us
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