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Permit#
`: 1 • ' FEE $50.00
Map
Lot
MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department f
1146 Route 28 /�1 . -47
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261
APPLICATION FOR: MANAGER UNIT(S) I SEASONAL EMPLOYEE HOUSING
HOTEL/MOTEL ADDRESS:
SPECIFY STR ET#AND NAME •
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OWNER:44( 3C.7Vc9 HC'S 0—e 'd LL Crt - JQ�{ - 6�.f
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NAME _� GAL ADDRESS TEL. # y�P
MANAGER: .�'lE'Sin PCSLA Sgwt-e C� --i'I
NAME LEGAL ADDRESS TEL #
ReCEIVPp
ON SITE PROCTOR >A Alt
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NAME ROOM NUMBER CE L FMAY 20
2024
EMAIL CONTACT
BUILDING DEPARTMENT
TOTAL NUMBER OF LICENSED ROOMS: I Lf By
NUMBER OF MANAGER/OWNER UNITS ( ROOM NUMBERS Oa mac) ) \^-7 4-
•
NUMBER OF SEASONAL HOUSING UNITS: (APRIL Ist—OCT BER 31")
15% MAX
ROOM NUMBERS:
IN�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 iP
taking further legal action.
I declare under penalties of perjury that a st tements herein contained are true and correct.
Applicant's Signature: Date: 24'4? .�Li
Owner's Signature chment) +� % Date:
It-c:,24
Approved By: '' - Date:
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Building C. one (or designee)
Updated 3/24