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Manager/Seasonal application
Office Usc Only /O1'_ a \ �`? ..ICI G ? Permit N /C. `�3 FEE S50.00 _— )C 4 „.1 ,. Of•. 1 Map Litt MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION TOWN OF YARMOUTH Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 (508) 398-2231 Ext. 1261 ___ __.:___ APPLICATION FOR: MANAGER UNIT(S) . SEASONAI. EMPLOYEE HOUSING HOTEL!MOTEL ADDRESS: AalifV Zt?, a i 1 �,3 So /7 /�" 1 ///� SPECIFY STREET#AND NAME / ( S' Ya,enve)G-et;( /9 OWNER: &-C�1/ Lt S/ L-L. C.� 2c? u1ei6O/77' ►`V �t'CL��/u"tit gZ f9 'G72 , NAME. / I.F,G.�l.:1DDRISS TEL. # 'o/_ 'c's-090© MANAGER: 5CZ?�`z4..R ,/iL,� /2a.&428 JG ,Oise V Age/ie7ovytt 4'/ 6?2e 'c/z NAME LEGAL ADDRESS TEL.# ON SITE PROCTOR �V Z S /`/ J��--„2(73�-�7+a/(c? ANIE_--_ (H R )\I NUMBER CELL# EMAIL CONTACT /�,' rX G"--) ' (, e" //_ ,, / re,a Ce2/77 TOTAL NUMBER OF LICENSED ROOMS: — NUMBER OF MANAGER/OWNER UNITS ROOM NUMBERS NUMBER OF SEASONAL IIOI'SING UNITS : (APR1L 1st-OCTOBER 31") 15% MAX ROOM NUMBERS: INl ;\L 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. L-,�y� I understand that any false statement(s)will be just cause for denial or revocation of my permit and may result in the town L/ '" taking further legal action. Z ) I declare under penalties of perjury that the statements herein contained are true and correct. •�i�/ oe ef a-, - 3,e r '/' ,r,Ln /h4 5 f L LC' (� Applicant's Signature: L,. / '�`-'" Date:9�"/2 y ,_ ()oiler's Signature(or attachment) Date: 1// 2/ —_ Approsed By: Date: ( ___ Building Commissioner(or designee) Updated 124 The Commonwe Massachusetts -:- 1= ; City\Town of ' -=: 1 = 4 YARMOUTH .i..ls New and Renewal Certificate of Inspection In accordance with the Massachusetts State Building Code,Section 110.7 identify Name of Establishment Certificate No. Issued to Business Name:Ocean Mist LLC BLDCI-23-005365 Trade Name:Ocean Mist Beach Hotel • Identify property address including street number,name,city or town and county Certificate Expiration Located at 73 SOUTH SHORE DR 4/15/2024 SOUTH YARMOUTH,MA 02664 Use Group Fly Occupancy Use Group Other Classifications(s) R.1 Other 8 R-1 Hotet/Motel/Boarding House/Transient Front Bldg 8 Units R-1 Hotel/Motel/Boardin House/Transient Allowable Other 14 g Middle Slda t4.lJ�r its-- __ Occupant Load 01st Floor 4 R-1 Hotel/Motel/BoardingHouse/Transient /� j 4 units&Office&MGR CApartment This certificate of inspection is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein spec' re pai"e3 general fire and life safety features. This certificate shall be framed behind glass and/or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to pose or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Name of Municipal Mark Grylls Date of y���` Building Commissioner _ Inspection Signature of Municipal Signature of Municipal Date of Building Commissioner G Issuance c/3As, Fee:$148.00 BLD_Certofl nspection.rpt