HomeMy WebLinkAbout5099 137 Run Pond Rd AffidavitAFFIDAVIT OF:
(Name of Petitioner)
TOWN OF YARMOUTH
FAMILY RELATED APARTMENT
AFFIDAVIT
JULIA FAIGEL
I/We hereby certify that Irwe are the owners in principal residence, and will occupy the main portion of
the residence, at
137 RUN POND RD, YARMOUTH MA
(Address)
I/WE further certify that the FAMILY RELATED ACCESSORY APARTMENT at said address will be
occupied by
(Name)
MARISSA LEVEE
as his/her principal residence who is my/our
DAUGHTER
(Relationship to petitioners)
Signed, n the pains and penalties perjury, thi-..,qday Ai4e-�I0'�'
_to
Own I
Owners of property
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss. cj
On this the ffday of "kA t { , �Z r , before me,
1A44 -- ®V , �o Lr
Month Year of Notary Public
�Name
The undersigned Notary Public, personally appeared� i
Name of Signers)
Proved to me throughsatisfactory evidence of identity, which was/were- ),c�, ifs �4
rY
to be Me person(s) whose name(s)
wastwere signed on the preceding or attached document in my presence, and who swore or affirmed to that the
contents of this document is truthful and accurate to the best of his/her/their knowledge and belief.
ALEXANDER NOVIKOV S' nature ofNota Public
NOTARY PUBLIC
"',\;iQ !� Commonwealth of Massachusetts
l�ry
\./;f� My Commission Expires On
�t 01/13/2028 Priint Name of Notary ]
Place Notary Seal and/or Stamp Above My Commission Expires
H:\MyFiles\Documents\Application\AffidavitFamilyRelated.doc(1 /2015 )