HomeMy WebLinkAboutBHOU-24-11 2024 ( p(Do- J
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MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department 3
1146 Route 28
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261
APPLICATION FOR: MANAGER UNIT(S) � SEASONAL EMPLOYEE HOUSING lP 6
HOTEL/MOTEL ADDRESS: e " �` J7 &. I " y"fridlie ;7/71.1 .
SPECIFY STREET#AND NAME
OWNER: 2/6 /19/9/4
/c5 ET ` i�7 &/7 — 73 -J 8E6
NAME LEGAL ADDRESS TEL. #
MANAGER: a-4 C— 'l//IVZ* %;14,+77 83/
NAME LEGAL ADDRESS TEL.#
ON SITE PROCTOR /C/fg 449i/4�/n /a/
NAME ROOM NUMBER CELL#
EMAIL CONTACT . -2,96 o%yYl6:o4e41F4 yryl- 4,14 l RECEIVED
TOTAL NUMBER OF LICENSED ROOMS: 0 7 D 71-17E
MAY 0 7 2024
NUMBER OF MANAGER/OWNER UNITS ROOM NUMBERS /�� S U j ,D E l•`J� NT
NUMBER OF SEASONAL HOUSING UNITS: (APRIL 1st—OCTOBER 31")
15% MAX
ROOM NUMBERS: e,.0-4/ -725" 2Z-6. 72 7 20* 'Z9
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 that tam is ,, _in_contained are true and correct.
Applicant's Signature: �/ Date: ea5 ��—d2�
Owner's Signature(or attachment) 917,(1Z'60 dig Date:
Approved By: Date:
Building Commissioner(or designee)
Updated 3/24