HomeMy WebLinkAboutBLD-23-005756 MANGER/SEASONAL EMPLOYEE 13u5-23-a S'7 5(
Office Use Only
• RECEIVED Permit
0 ++1'' y FEE $50.00
MATTACn CS[ 4.• APR 13 2023
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BUI''�/��� MENT
By. v Lot
MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261 / /74J-C _(06e` ,/
APPLICATION FOR: MANAGER UNIT(S) SEASONAL EMPLOYEE HOUSING 8 (- Z
HOTEL/MOTEL ADDRESS: /TO SE-9 of 6ct) 4v6 S' e91e/f/o 'i i
SPECIFY STREET#AND NAME SPECIFY SOUTH,WEST OR YARMOUTH PORT
OWNER: 411121 12l— 6-/rrtie Cr— /)0 j 4c4cc-✓ /5_
NAME1� LEGAL ADDRESS TEL. #
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MANAGER: It 4E14— G 1+1 Cr ! 7.4 _leg eg v/t,v 4i't- S Yg u- 5
NAME LEGAL ADDRESS TEL.#
ON SITE PROCTOR
NAME ROOM NUMBER CELL#
TOTAL NUMBER OF LICENSED ROOMS: 3 3
NUMBER OF MANAGER/OWNER UNITS / ROOM NUMBERS G i
NUMBER OF SEASONAL HOUSING UNITS: 1 (APRIL 1st—OCTOBER 315t) I(J z`3 3
15% MAX
ROOM NUMBERS:
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. /LUG
I understand that any false statement(s)will be just cause for denial or revocation of my permit and may result in the town /vim
taking further legal action.
I declare under penalties of perjury that the state is herein contained are true and correct.
Applicant's Signature: Date: ` //Z /Z3
Owner's Signature chment) 'Ailtef Date: g:_4 (l
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Approved By: a` Date: V4,7
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Building designee)
SOUTH BUILDING
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