App# 18-E060VofeIIa,-Beth
From: Jono O'Leary <olearyjono@hotmail.com>
Sent: Friday, June 22, 2018 12:38 PM
To: Vozella, Beth
Subject: 18-EO60
Good afternoon Beth, as we discussed could you please withdraw application number 18-E060. Thank you
very much and have a great weekend. Jon O'Leary
100 Lookout Road. Yarmouthport MA
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1
RECEIV-
TOWN OF YARMOUTH JUN 20 2018
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° 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 YARMOUTH
OLD) KING'S HIGHWAY
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
RECEIVED
APPLICATION FOR
CERTIFICATE OF EXEMPTION JUN 212018
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 FRQQ
PFWK of
Acts of 1973, as amended, for the proposed work as described below and on plans, drawi�Y,f�r VA
accompanying this application.
Type or Print legibly,.
Address of proposed work:
tl Do LocK ou i,-
Owne s): �6T]
All applications must be submitted by
Mailing address: / 0D
Email:
Acient/Contractor. a4 Sweel-
Mailing Address; .26 Ai (ter on
4 - MaplLot # AG
Phone #: 0'? )362,-zs7r
panled by letter from owner approving submittal of application.
PbI 1 ITA A• 0a 175- Year built/ 77Z -
Preferred notification method: V/' Phone Email
u7 S Phone #: (�(6
Email: Q S q9Jr- Q l t t 60 Al Preferred notification method: Phone Email
Descrilption of Proposed Work Additional a es may be attached if necessa
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Signed (Owner or agent): r Date:
> Owner/contractorlageriis d§re-eat a permit may be required from the Building Department. (Check other departments, also.)
This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
For Committee use oniv:
Date: / 9
Amount 40
Cash/CK #:
Rcvd by: &�
Date Signed:Z, X 0/9'
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Approved V Approved with changes Denied
Signed:
E060
"-CEIVED
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'Ok/"N CLERK
U� . �i YARMOUTH, MA
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JUN 20 2018
YARMOUTH
OLD KING'S HIGHWAY