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Permit#
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MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION
TOWN OF YARMOUTH 13 i C,;.-.,/ 1 - ;-i -1 )
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664 RECEIVED
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(508) 398-2231 Ext. 1261 APR 19 2024
APPLICATION FOR: MANAGER UNIT(S) BYEI SEASONAL EMPLOYEE HOUSING BUI � RIE�NT
DI�� — .
HOTEL/MOTEL ADDRESS:
SPECIFY STR EET#AND NAME // / ,/ p�/,
OWNER: f I Qllu V31aYI bt,�c 6,, &4IIi (/c4rA r0/) cr Vora / ` e-s-01
NAME LEGAL ADDRESS TEL. #
MANAGER: !( n, 6a� 0.3 mA 2S foc--4i/hex /hFV .Sp�� 2, - 7/4✓v 7
NAME LEGAL ADD ESS TEL.#
e S.
ON SITE PROCTOR )(nn, ActM ram- ' ZN - 1 ti✓�q
Q NAME I' ROOM NUMBER CELL#
EMAIL CONTACT I l 1��tie ®QI4,I•(QM
TOTAL NUMBER OF LICENSED ROOMS: (� 1/6
NUMBER OF MANAGER/OWNER UNITS 1 ROOM NUMBERS F -e,,7l-e &,,e4
NUMBER OF SEASONAL HOUSING UNITS: I (APRIL 1st—OCTOBER 31")
15% MAX
ROOM NUMBERS:
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. 1)Ii
I understand that any false statement(s)will be just cause for denial or revocation of my permit and may result in the town 'I L
taking further legal action.
I declare under penalties o i• ,ury that the statements herein contained are true and correct.
f Wts� zy
Applicant's Signature• I Date:
W tliisi 2_9
Owner's Signatur.(or . achment) Agel Date:
Date:
Approved By:
Building Commissioner(or designee)
Updated 3/24
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