HomeMy WebLinkAbout4959 500 Route 6A Family Related Apartment Affidavit 1-'irefox
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TOWN OF YARMOUTH
FAMILY RELATED APARTMENT
AFFIDAVIT
AFFIDAVIT OF: " r , VO 5
(Name of Petitioner)
I/We hereby certify that I/we are the owners in principal residence, and will occupy the main portion
the residence,at
(Address)
I/WE further certify that the FAMILY RELATED ACCESSORY APARTMENT at said address will t
occupied by (Nr\(A)�
(Name)
as his/her principal residence who is my/our �)' z Z
—
(Relationship to petitioners)
S. un r e pains and penalties of perjury,this____day of
A2)ai____20 ZE
. a �
Owner/ of pro y
COMMONWEALTH OF MASSACHUSETTS
Barnstable,ss.
On this the Aday of Y�/ -��
,'2�J? efore me, 1'I //
/- LAI 1G� h(
onth Year of No
tary The undersigned Notary Public,personallyappeared5/14 1 I Z ?� `�
O S
Name of Signer(s)
Proved t me u sadsfac orfavide ce of i tity,whi h was/were 1 r/ (',r .
was/were signed on theprecedingmy , to be the person(s) whose nam
contents of this documen s truthful and accurate documento the best of his/her/thpresenceeir andowl whose and r affir
to me that
S bfli
¢;„, MICHELLE M LEBLANC
i Notary Public nature Notary Public
COMMONWEALTH OF MASSACHUSETTS `)
My Commission Expires On ! � N—li /.,(— b-, 1n p
Maysio2023 Printed No l
al.,.1Vntova,C..31 on/1/nr Ctomn A of Notary
larva. May/ten
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