HomeMy WebLinkAbout4982 438 Route 6A Family Related Apartment Affidavit 08.26.22 TOWN OF YARMOUTH
FAMILY RELATED APARTMENT
AFFIDAVIT
AFFIDAVIT OF: OSF21- 4-v p &11-ic—eci
(Name of Petitioner)
I/We hereby certify that I/we are the owners in principal residence, and will occupy the main portion of
the residence, at
T- O 1L
(Address)
I/WE further certify that the FAMILY RELATED ACCESSORY APARTMENT at said address will be
occupied by (-GC-1 -F- 1�-n-t r# 134 1
(Name)
as his/her principal residence who is my/our L .-�-� (' pG c e vc
(Relationship to petition rs)
1,'—
Signed under the pains and penaltie ry,thisA, day of / ST— 20
Owner/ wners of grope --COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss.
On this the day of , aJZ F+efore me, I4U/sealed-eX
h Year Name of otary Public
The undersigned Notary Pubiic,personally appeared
ame of Signer(s)
Proved to me through satisfactory evidence of identity,which was/were L 1UCY biegj1 _,
, to be the person(s) whose name(s)
was/were signed on the preceding or attached document in my presence, and who ore or affirmed to me that the
contents of this document is truthful and accurate to the best of his/her/their know] ge and belief
Tracey E. Hubbard-Pox
NOTARY PUBLIC Signatur NotaryPublic
Commonwealth of g
Massachusetts TraCettIlu -6x
Nti My Commission
Expires
11/3/202E
Printed Name of Notaty
Place Notary Seal and/or Stamp Above My Commission Expires /1 J f /2"624ir
H:\MyFiles\Documents\Application\AffidavitFam ilyRelated.doc(1/2015)