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MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department e/-1CIA )- ` /�J
1146 Route 28 I l_
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261 I. i 4-.8 L
APPLICATION FOR: MANAGER UNIT(S) C/ SEASONAL EMPLOYEE HOUSING —_____..._'
HOTEL/MOTEL ADDRESS: a( '00 " Ft
SPECIFY STREET#AN NAME y (�
OWNER: t \1IQ .4( ,H,, 'fly s M ,O$� ,-, P
NAME L LEGALADDRESS t TEL. #
MANAGER: Uf^C \,10,, S Q'�-• .2 5J8.441. Wo'II
NAME (`J, GAL ADDRES TEL.#
N SITE PROCTOR
NAME ROOM NUMBER CEL
RECEIVED
EMAIL CONTACT erin\ N(c (' +CCOA� raA vL CAv
TOTAL NUMBER OF LICENSED R&MS: 14C,
MAY 0 81024
NUMBER OF MANAGER/OWNER UNITS ( ROOM NUMBERS BUIL G
NUMBER OF SEASONAL HOUSING UNITS: r (APRIL I st-OCTOBER 31")
15% MAX
ROOM NUMBERS:
INITIAL
I will comply with all applicable Town of Yarmouth Zoning Bylaws and all other applicable laws. HIS
Seasonal employee housing shall be used solely by employees and shall not include family members or non-employees. 1,1 (3
I understand that any false statement(s)will be just cause for denial or revocation of my permit and may result in the town OD
taking further legal action.
I declare under penalties of perjury that the statements herein contained are true and correct. 1-t 0-\
Applicant's Signature: Date: S
lylil
Ohsncr's Signature(or attac• --_______ Date: S/L1 )2/1
Approved By: r. `�! %/� Date: t"('7f/Z-1°Buildin Commi 1 :g
Updated 3/24
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