HomeMy WebLinkAboutBHOU-24-17 2026 a it Office Use Only
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� RECEIVED Permit#
0 'iTe FEE $50.00
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BUILDING DEPARTMENT - Lot
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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) I SEASONAL EMPLOYEE HOUSING
HOTEL/MOTEL ADDRESS: ( ( 9 q & Lk r ,C Spt l yea m 1 .
U SPECIFY STREET#AND NAME i
OWNER:A1 1 Sc cLSciylg 1 tOcP1' ? Tv-to Het q . S. yetP'mc�111 , CG -3`r4^ 1—,l
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NAME LEGAL ADDRESS TEL. #
MANAGER:Dtafrnes�1�1 Tr� 1
cdt - , l(qq g . Val,moLLt S10'tZ -39G -16 0v
NAME LEGAL ADDRESS TEL.#
ON SITE PROCTOR
NAME ROOM NUMBER CELL#
EMAIL CONTACT
TOTAL NUMBER OF LICENSED ROOMS: L1
NUMBER OF MANAGER/OWNER UNITS i ROOM NUMBERS SOC' I .Q a I T `,ZOQ v2a:
NUMBER OF SEASONAL HOUSING UNITS : (APRIL 1st—OCTOBER 31")
IS°/a MAX
ROOM NUMBERS:
INI IAL
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. —44—
I understand that any false statement(s)will be just cause for denial or revocation of my permit and may result in the town 4
taking further legal action.
I declare under penalties of perjury th t the statements herein contained are true and correct. --i(----
Applicant's Signature: ee'fi/ Date: 2-l"c=Q6
Owner's Signature(or attachment) i_FJ�--t-.) -vt �i Date: 4 r(r-&.
Approved By: Date:
Building Commissioner(or designee) 4.
Updated 3/24