HomeMy WebLinkAboutEmployee Housing BHOU-24-13 ;y9� � J� ( f Office Use Only
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;y• FEE $50.00
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Lot
MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION
TOWN OF YARMOUTH Yarmouth Building Department l (/`'i-a; (y —13
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261
APPLICATION FOR: MANAGER UNIT(S) / SEASONAL EMPLOYEE HOUSING
HOTEL/MOTEL ADDRESS: UP e=I Z R• fin''C=1^ ill -T 2 i— /f-/I--S 7- 02,�1 0 111
SPECIFY STREET#AND NAME (/"�
OWNER: 147- i IC- /�1 %�,�_ 3 -2-' —�'- )z—
AME LEIAL(AADDRnES'S� ^� i '] TEL. #�il "°''►`� --a te
MANAGER: { t l roue rat pa- 1 i /2,4c 2 O / INAM
ON SITE PROCTOR E P 1/row Pc4-e, LEGAL SG SS� V trl TEL.
EU
NAME ROOM NUMBER CELL
EMAIL CONTACT RECEIVED
TOTAL NUMBER OF LICENSED ROOMS: / Lt:I_AY 10 20241
NUMBER OF MANAGER/OWNER UNITS { ROOM NUMBERS BUILDING DEPARTMENT
--
NUMBER OF SEASONAL HOUSING UNITS: (APRIL 1st—OCTOBER 31")
15% MAX
ROOM NUMBERS:
r
INITIAL
I will comply with all applicable Town of Yarmouth Zoning Bylaws and all other applicable laws. k40
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 or revocation of my permit and may result in the town
taking further legal action.
I declare under penalties of perjury that the statements herein contained are true and correct.
Applicant's Signature: ( i-z Date: 2 11
Owner's Signature(or attachment) j cp,\ ' l k-� Date: 00 j �� J 0'`-'2 ? 11
Approved By: Date: J
Building Commissioner(or designee)
Updated 3/24