HomeMy WebLinkAbout4840 915 West Yarmouth Rd FRAP Affidavit 11.12.21 •
TOWN OF YARMOUTH
FAMILY RELATED APARTMENT
AFFIDAVIT
AFFIDAVIT OF: 41 1, S 4J; Ca /3 a)(, /� It �1Q�4/ /c P i a (a 47< ///
(Name of Petitioner)
I/We hereby certify that Uwe are the owners in principal residence, and will occupy the main portion of
the residence, at p J
9 / 5- tie /Ci 4,1I ✓1 oad.
(Address)
I/WE further certify that the FAMILY RELATED ACCESSORY APARTMENT at said address will be
occupied by � C!r^ C S. /"!+F bZ 4/0.4 CCc Cce e
(Name)
as his/her principal residence who is my/our J T fi SO ifSO �1
(Relationship to petitioners)
Signed under the pains and penalties of perjury,this,2Z, h� day of Ja K it ry. 20 0Z(2
• L.-7 `✓t°")��.r. C�z � 7 0 h2 Q S, J C O n ti Ca
Owner/Owners of �per y
�'U I Lc \ c _
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss. 0
On this the day ofUCtr)(Xe_r9, fore me, � L� �(C •
Month L. Year Name of Notary Public
The undersigned Notary Public,personally appeared hf)jY1C lS Q IV I .()n!1C)t I L�
Name of Signers)
Proved to me through satisfactory evidence of identity,which was/were An G�✓Y �
II Ci,.y15&O , to be the person(s) whose name(s)
was/were signed on the preceding. or attached document in my presence, and who swore or affirmed to me that the
contents of this document is truthful and accurate to the best of his/her/their knowledge and belie .
Signate of Not Public
Printed Namtapjs•---
STEPHANVE J.
Place Notary Seal and/or Stamp Above My Commission Expires e._ . •TARY PUBLIC
.� y Commonwealth of Massachusetts
�_�'��F' November 12,My Commission Expires
i' 2021
H:\MyFiles\Documents\ApplicationWffidavitFamilyRelated.doc(1/2015)