HomeMy WebLinkAboutManager/Seasonal Employers Housing Permit pV.YHR Office Use Only
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MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261
APPLICATION FOR: MANAGER UNIT(S) 1, SEASONAL EMPLOYEE HOUSING
HOTEL/MOTEL ADDRESS: 7 2 .ti-e.„:7-- )1/vt,,-t-c-
SPECIFY STREET#AND NAME SPECIFY SOUTH,WEST OR YARMOUTH PORT
OWNER: 4/ C
/NAME EGAL ADDRE TEL. #
MANAGER: f/3/I/L- /NA A9 C—R '-
( `
NAME LEGAL ADDRF6S TEL.# ' \
ON SITE PROCTOR 1 '`i Oil l.-J ved 6(1--0--49-(e_ 0-44.t) P6 —
NAME ROOM NUMBER CELL#
TOTAL NUMBER OF LICENSED ROOMS: l 04 t v -
NUMBER OF MANAGER/OWNER UNITS 1 ROOM NUMBERS
NUMBER OF SEASONAL HOUSING UNITS: (APRIL 1st—OCTOBER 31g)
15% MAX
ROOM NUMBERS:
INITIAL
I will comply with all applicable Town of Yarmouth Zoning Bylaws and all other applicable laws. ( ----
Seasonal employee housing shall be used solely by employees and shall not include family members or non-employees. `74.1
I understand that any false statement(s)will be just cause for denial or revocation of my permit and may result in the town
taking further legal action. (14
I declare under penalties of 'ur that he statements herein contained are true and correct. C14----'
Applicant's Signature: / (671Date: V
Owner's Signature(or attachment) ‘i /` dj
Date:
Approved By:
Building Commissioner(or designee) Date: