HomeMy WebLinkAboutManager/Seasonal Employee 72823 Office Use Only
O l C. JUL.. Permit#
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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:��< ri"T 2-8 �- r --, p 0Th PI C 422
I oSPECIFY STREET#AND NAME SPECIFY SOUTH,WEST OR YARMOUTH PORT
OWNER: 934"V- -k F u i 7,4_4i er 28'
NAME 1B+lto thf) d�l ('1Z 8`1-1
+ / LEGAL ADDRESS TEL. #
MANAGER: `ice 1 Sit'tyrt �' �!34'T4-- - YAM, , L
NAME LEGAL ADDRESS —
TEL.#
ON SITE PROCTOR
NAME ROOM NUMBER
CELL#
TOTAL NUMBER OF LICENSED ROOMS: 2-1 L--
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NUMBER OF MANAGER/OWNER UNITS 11g ROOM NUMBERS 19 \)ti1 '
NUMBER OF SEASONAL HOUSING UNITS
(APRIL 1st—OCTOBER 31'
15% MAX ) W ` � �`\
ROOM NUMBERS: \, \
= ' C4 Vil-4-16O - Cs)P
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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 may result in
or revocation of my permit and
taking further legal action. the town
I declare under penalties of perjury that the statements herein contained are true and correct.
cTh
Applicant's Signature:
Date: 2_4) 2
Owner's Sig :tore(or a .<diluent) ,�`i . t2-3
— V
Date:
Approved By: . I�/L�/��rl!=
ding Commission: (or deli, Date: / ?/
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