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pF Y'9R -' RECEIVED
Office Use Only
•' I !40, 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) ,`1 SEASONAL EMPLOYEE HOUSING/� °'
HOTEL/MOTEL ADDRESS: '"/ 2- �'
5 '""17 2 Y'"r r""`'� 6
SPECIFY STREET#AND NAME SPECIFY SOUTH,WEST OR YARMOUTH PORT
OWNER: ✓a^^4,14, 1--1alcfL' %ej5 LLc y IZ /2;>k 2d w 7y;,,,,../ti y.-Ic 3-7 -.sr'-Z
NAME LEGAL ADDRESS TEL.#
MANAGER: "S c j' Mi4-1'1+r.r1 i i 1 4..,h 2b ‘--..—I yv.,n::>ltt 17U-37 )- S Ycl'L
NAME LEGAL ADDRESS TEL#
ON SITE PROCTOR 4'ct, C.)w'S Z L I sue/_-7 2-C 3 y y
NAME ROOM NUMBER CELL#
TOTAL NUMBER OF LICENSED ROOMS: I 4 Z
NUMBER OF MANAGER/OWNER UNITS 4- ROOM NUMBERS I o I f Z L I
NUMBER OF SEASONAL HOUSING UNITS: (APRIL 1st—OCTOBER 31')
ROOM NUMBERS: (3I1 .e,.<<rt Fur- f4-1 F 22-I
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. /t/l'-
I understand that any false statement(s)will be just cause for denial or revocation of my permit and may result in the town J Vh
taking further legal action.
JI declare under penalties of per'ury that a statements herein contained are true and correct.
Applicant's Signature: ��--- Date: 3//J 2 Y
Owner's Signature chmeat) Date:
(1 Y/Z y
v y/ y/ -
Approved By: Date: L
Building Co designee)
OSCS AAM
Town and Country 452 Main Street 317 417 418 318
315 415 416 316
313 413 414 314
311 411 412 312
309 409 410 310
307 407 408 308
536 534 532 530 528 526 524 522 520 518 516 514 512 510 508 506 504 502 305 405 406 306
636 634 632 630 628 626 624 622 620 618 616 614 612 610 608 606 604 602 303 403 404 304
. 635 633 631 629 627 625 623 621 619 617 615 613 611 609 607 605 603 601 301 401 402 302
4
535 533 531 529 527 525 523 521 519 517 515 513 511 509 507 505 503 501
M NT `_ = ` l = 222 122
119 219 220 120
221,104 - Managers units, 272 sqf 117 217 218 118
115 215 216 116
113 213 214 114
111 211 212 112
109 209 210 110
107 207 208 108
105 205 206 106
103 203 204 =
101 201 202 102
1st 2nd 2nd 1st
Kitchen
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