HomeMy WebLinkAbout5010 176 Union St AffidavitTOWN OF YARMOUTH
FAMILY RELATED APARTMENT
AFFIDAVIT
AFFIDAVIT OF:
(Name of Petitioner)
We hereby certify that Uwe are the owners in principal residence, and will occupy the main portion of
the residence, at
/ �- (I- C)/),/o
(Address)
UWE further certify that the FAMILY RELATED ACCESSORY APARTMENT at said address will be
occupied by �� Cc>✓�/ �J CC c/1/p/'�'
(Name)
as his/her principal residence who is my/our ,I 7� r ,
(Relationship to petitioners)
Signed under the pains and penalties of perjury, this 6 d of
Owner/Owners of property
COMMONWEALTH OF MASSACHUSETTS
Barnstable, �ss��y■ ,
On this the t: daty of t'[� e, L6 �—
Month mar Name of Notary Public
The undersigned Notary Public, personally appeared 'p—
ame of Signer(s)
Proved to me through satisfactory evidence of identity, which was/were
, 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 belief.
Signature &_Nctay Public
Qr n`mistrQ� C21
CP
�''a
a_ry $a, Stephanie J. Cappello
10
Place Notary Seal and/or Stamp Above ? Z missionxpires ¢ Nntary Public
SSACHUSFM178
`� My Commission Expires
P11�� : J��. ' .July 21, 2028
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