HomeMy WebLinkAboutBHOU-25-3 �. .; Office Use Only
Permit#
�a'ti i►�l FEE $50.00
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Lot
13 Hut-as- 3
MANAGER /SEASONAL EMPLOYEE HOUSING PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28 DEC 0 4 2025
South Yarmouth, MA 02664
(508) 398-2231 Ext. 1261
APPLICATION FOR: MANAGER UNIT(S) 1 SEASONAL EMPLOYEE HOUSING
HOTEL/MOTEL ADDRESS: c13 7 iv" 2v 50 '-iOurzNIA6LeA
SPECIFY STREET#AND NAME SPECIFY SOUTH,WEST OR YARMOUTH PORT
OWNER: C n0 7 LUC #
L�AL ADM l tl i LO n ( l 7 g) 3( 1 ' 1 LZ-6
NAME [(DZio DRESS (,i$ SIS TEL�` ~�
MANAGER: � Go B 'L � C 6 7 3) J l611- llo Z,
NAME' 1 LEGAL ADDRESS 1'EL.#
ON SITE PROCTOR 1'J
NAME ROOM NUMBER CELL#
TOTAL NUMBER OF LICENSED ROOMS: a 0
NUMBER OF MANAGER/OWNER UNITS ( ROOM NUMBERS 44 2
NUMBER OF SEASONAL HOUSING UNITS: 2° (APRIL 1st—OCTOBER 31si)
15% MAX
ROOM NUMBERS:
INITIAL
I will comply with all applicable Town of Yarmouth Zoning Bylaws and all other applicable laws. C fL
Seasonal employee housing shall be used solely by employees and shall not include family members or non-employees. Calf---.
I understand that any false statement(s)will be just cause for denial or revocation of my permit and may result in the town C [�
taking further legal action.
I declare under penalties of perjury that the statements herein contained are true and correct.
Applicant's Signature:_ Date: 6 2 .- L` r
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Owner's Signature(or attachment) Date: ` Z ` 2-5-
Approved By: Date: «c
Building Commissioner(or designee)
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