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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) I SEASONAL EMPLOYEE HOUSING 1
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HOTEL/MOTEL ADDRESS:Si �' 2 cs au
SPECIFY STREET#AND NAME SPECIFY SOUTH,WEST OR YARMOUTH PORT �/
OWNER: S/t u'( .A.r 144.'41„N�/ , Z., 5/Z a—1, -I-3 &J/ yilrn.>J#'(� 9 70-373'.1 r").1"
NAME LEGAL ADDRESS TEL#
MANAGER: '10• MJlrryn..n S[2 /1o4-z.8 9?8-37I•i—Vo2.
NAMES LEGAL ADDRESS TEL.#
ON SITE PROCTOR 4"° <<d ors k: v/i- isE Pao r 1 27-36 C-iy'7
NAME ROOM NUMBER CELL#
TOTAL NUMBER OF LICENSED ROOMS: 70
NUMBER OF MANAGER/OWNER UNITS / ROOM NUMBERS -51 Z I°'1 28
NUMBER OF SEASONAL HOUSING UNITS: 1— (APRIL 1st—OCTOBER 31°)
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15%MAX
ROOM NUMBERS:,` /
INITIAL,
I will comply with all applicable Town of Yarmouth Zoning Bylaws and all other applicable laws. '1
Seasonal employee housing shall be used solely by employees and shall not include family members or non-employees. j
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 perj ry that the statements herein contained are true and correct. /I J�
Applicant's Signature: / Date: 3 1 I'/2'`'l
Owner's Siguatnr ff�'� Date: /j q Y
Approved By: � ��j��'
Building Col 7. . ee Date:
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cFt1 IN II EV
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Rest R. St. 34135136 37 38 39 40 x St. 46 47 48 49 50 51 St.
Continental Brealcfast _ st. 5 6 7 8 9 10 9.1 St, St. 17 18 19 20 21 22 St.
Indoor Pool Area 29 30L31 32 33 ill 42I_43I44 45 52 53 54 55 56 57
front Desk Ic.l�� 1.I ? 1 ii :17 1 .. 1.4. 1.5 16 23,24 25 26 27 28
Lobby
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room
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11 r .4c-,= , ? , f 61 60 1 59 58 First Floor front
65 64 63 62 Second Floor front
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66 67 68 69 Second Floor back
_• Rest Rooms and Changing Rooms First Floor back
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