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MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28 RECEIVED
South Yarmouth, MA 02664 -- ------
(508) 398-2231 Ext. 1261 APR 02 2024
APPLICATION FOR: MANAGER UNIT(S) V SEASONAL EMPLOYEE HOUSING BUIL/iti" !'
HOTEL I MOTEL ADDRESS: Eit U 4. O G K R a_,S �C 3� !odd /3 pod
SPECIFY STREET tc
NAME SPECIFY SOUTH,WEST OR YARMOUTH PORT
OWNER: (1Z (G V'ac...k¢ -k $1,tJt^ 'Res°C "k O v 1'\(, c LLC
Ml LEG
AL ADDRESS TEL. #
MANAGER: 1 Li n. O 1-40J �\ t " 5'08 a37 99 1 I
NAM LEGAL ADDRErSS TEL#
ON SITE PROCTOR Cc"NA
he N 1 Lk", o ,ROOM NUMi E A 7 7 / CELL#U 7, 79
, 79
TOTAL NUMBER OF LICENSED ROOMS: i
NUMBER OF MANAGER/OWNER UNITS I ROOM NUMBERS IV iN
1°
NUMBER OF SEASONAL HOUSING UNITS : (APRIL 1st—OCTOBER 31")
15% MAX
ROOM NUMBERS: NI IN
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INf1 lAL
I will comply with all applicable Town of Yarmouth Zoning Bylaws and all other applicable laws. 0
Seasonal employee housing shall be used solely by employees and shall not include family members or non-employees. ,'0
I understand that any false statement(s)will be just cause for denial or revocation of my permit and may result in the town ‘ k 0
taking further legal action.
I declare under penalties of perjury that the statements herein contained are true and correct. i 0
0�Applicant's Signature: Date:_____ ____Li 1 ,p,.''-I++
Owner's Signature • eat) j
Date:
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4041111117
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Building Commis .ner(o desit.
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BLUE ROCK GOLF COURSE
.)) 9 TODD ROAD
210 209 Dining Room
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110 109 Lounge
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AtItto‘ Pool
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219 218 217 216 204 203 202 201. _ Front Desk
119 118 '117^116 104 103 102 101.
PARKING LOT
red jacket Room Number:
blue rock resort All Guest Rooms are Non-smoking
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