HomeMy WebLinkAboutMANAGER/SEASONAL EMPLYEE HOUSING o `�R TRECEIVED
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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) Z. SEASONAL EMPLOYEE HOUSING
HOTEL I MOTEL ADDRESS: ` �O S6/1/,6.241 4" S. y9 cTj� / (I2Z6
SPECIFY STREET#AND NAME SPECIFY SOUTH,WEST OR YARMOUTH PORT OWNER: I `�'-�Cla% ITINT 2Z( 6f. 91Ap in.. f'69 .fiy 6/7.-els--4 d.�h
NAME LEGAL ADDRESS TEL. #
MANAGER: /`MW3�/� &I r j Lt,W, ,t! 145 6t'7—a —4t62
NAME LEGAL ADDRESS TEL.#
ON SITE PROCTOR
NAME ROOM NUMBER CELL#
TOTAL NUMBER OF LICENSED ROOMS:
NUMBER OF MANAGER/OWNER UNITS 2 ROOM NUMBERS 2O 2-
NUMBER OF SEASONAL HOUSING UNITS: (APRIL 1st-OCTOBER 31:c)
15% MAX
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ROOM NUMBERS: 0 ,k. g2er-/
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.
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.
I declare under penalties of perjury that the state erem contail*are true and correct. 4/z 3—/e ?—
Applicant's Signature: Date:
i
Owner's Signature(or attachment) Date: /2,3 /z
•
Approved By: %< j /` Date:
B ' ng Co issio (or designee)