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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) SEASONAL EMPLOYEE HOUSING
HOTEL/MOTEL ADDRESS: 4
I�, (JSPECIFY STREET#AND NAME SPECIFY SOUTH,WEST OR YARMOUTH PORT
OWNER: 4;7 ).5 -(� f4)'frr<— U t f-8- Q f 28' LA) * —tgitjAbthri PI ER Oz,8`1=2
NAME LEGAL ADDRESS TEL. #
MANAGER: 1 sttim_ t d _.
NAME LEGAL ADDRESS TEL.#
ON SITE PROCTOR
NAME ROOM NUMBER CELL#
TOTAL NUMBER OF LICENSED ROOMS: �--
NUMBER OF MANAGER/OWNER UNITS )j ROOM NUMBERS \4J�Q,
NUMBER OF SEASONAL HOUSING UNITS: (APRIL 1st—OCTOBER 315C) �) "� 0
15% MAX
ROOM NUMBERS: tom' ( �Ir M 4P a �Q�q.,1
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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 statements herein contained are true and correct.
Applicant's Signature: VA - --- --- Date:�� GS32-2
Owner's Sig tore(or a chment) Date: ‹Cz3
Approved By: Date: a f ?/ Z3
ding Commission (or deli
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