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Manager/Seasonal 2024
OF.ygR Office Use Only O Permit# {0 - _y FEE $50.00 •(+�MA;TA 11 [SF4' lyl �'arro.�ICO�'9� Map Lot MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 0- (508) 398-2231 Ext. 1261 APPLICATION FOR: MANAGER UNIT(S) Of SEASONAL EMPLOYEE HOUSING O,rj HOTEL/MOTEL ADDRESS: -6 Z4e/. /e yr/g IJ /kV/- SPECIFY STREET#AND NAME OWNER: //v� /J/ '7 s rrfli%ie / 6/7* T3 �8456 NAMES LEGAL ADDRESS- TEL. # MANAGER: 4/�9t / �� //f�Yfr /T ,vre I/$ NAME LEGAL ADDRESS dr,7 f TEL.#" Q ON SITE PROCTOR /. //'A C�� ✓©�/ 5:5/—f2/1 NAME ROOM NUMBER FITE - 61EMAIL CONTACT 041-1-404 474 40 ��/Y Ce:11 TOTAL NUMBER OF LICENSED ROOMS: 06 MAY 07 2024 .DING DEPARTMENT NUMBER OF MANAGER/OWNER UNITS D I ROOM NUMBERS F,y3UIL NUMBER OF SEASONAL HOUSING UNITS: �7 (APRIL 1st-OCTOBER 31a1) 15% MAX ROOM NUMBERS: G / / / INITI 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. 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 tha tate ents h 'n contained are true and correct. Applicant's Signature: Date: �J�/�-7/ ®? Owner's Signature(or attachment) .•29fA7 C4' Date: Approved By: Date: Building Commissioner(or designee) Updated 3/24