HomeMy WebLinkAboutNOT Renting AffidavitAFFIDAVIT
RESIDENTIAL PROPERTY NOT OFFERED FOR RENT
'TOWN OF YAR}TOUTH HEAI,'IH DEPARTMENT
Pr..rblic Healtti
O\I'NER'S NAME
Douglas Bacon
ADDRESS
3873 Louis Rd, Palo Alto CA 94303
oWNER'S EMAIL ADDRESS
dou bacon@yahoo.com
PIlONtj #
650 468 7240
}ARMOI]TH RE}.TAI, PROPERT\.,\DDRT]SS
2294 tMill Lane, So Yarmouth
,. Douglas Bacon , am the owner olthc abovc-referenced propefty, as
verified by the Town ofYamrouth Tax Records. I hereby confirm that the dwelhng, unit, apartment mentioned
above is NOT currently rented or being offcred for rent.
Therefore, I undenitand that if I decide to offer my residential propeny for rent in the future, I must adhere to
the following steps:. REGISTER WITH THE YARMOUTH HEALTH DEPARTMENT- OBTAIN A RENTAL OCCUPANCY CERTIFICATE
A RENruL INSPECTION MAY BE REQUIRED FOR YEAR.ROUND RENTALS
A RENTAL INSPECTION W|LL BE REQUIRED FOR SHORT-TERM RENTALS
BY StGNniC; tlt_t.()\1'tACK\O\\'t.uDGE )ty t.t\Dl.tRs't,.\\l)t\c ol t.tr[_sr]
RFtQUIR!t1\, t.N',t S..\NI) ('()1Ilu t't.(-) Colrpt-\,tNG \\ l1'1t .t HE\l \1,HI._\ A\D It.. lcHoost t() of It_R try pltopItt.I\,]0R t{Ei\l tN.IHE r.tr.IURE.
SICNATURE ,.,^rr5124126
PLEASE RETURN THIS AFFIDAVIT TO THE YARMOUTH HEALTH DEPARTMENT
YARMOUTH IIEALTII DEPARTMENT, II46 I{OUTE 28. SOIJT}I YARMOUTII. MA 02664
l--MAI t_
-l'O: rnicdcrbergcr(4yarrrrourh.ma.us
9
] I arn fully aware that accordtng to the regulations ofthe Yarmouth tJealth Department. any residential p.operty
I that is offered for rcnt or lcasc must bc rcgistcred, and a Rental Occupancy Ccnificate musr be issucd. For
I shon-term rentals a Ccrlificatc of Inspc'ction must also bc issucd.