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HomeMy WebLinkAboutApp# 18-E084 1 .r• oF.ygQ r: = TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone(508)398-2231 Ext. 1292-Fax(508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMaittEIVE • APPLICATION FOR AUG 2 0 2018 CERTIFICATE OF EXEMPTION YARMOUT Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 a dQL6flalVagf$ry V9fAY Acts of 1973, as amended, for the proposed work as described below and on plans, drawingsr', opho-togra accompanying this application. Type or print legibly: �-,� f Address of proposed work: .R.5-C Porn 1 r" � n Map/Lot# Owner(s): (U(-P -- C-.rok 1l )1 r(Ser Phone#: 717-7n 1- 7 ( All applications must be submitted by owner or accompanied by letter from owner/ approving submittal of application. Mailing address: 167 / Lane_ li444- T A 71`73 Year built: Email: c1704-'3 5-3 (, rorty- ,nek Preferred notification method: Phone Email Agent/Contractor: Phone#: Mailing Address: Email: Preferred notification method: Phone Email Description of Proposed Work(Additional pages may be attached if necessary): n 11 7,42A Pt nc or Shed . APPROVE, Ana 20 ZQ13OC2 �r&u ousl1 cieco.1ed dor w la- 6kratni). St.td was no-t- : ,slulle�. )(" ( allg j(} c71fID,f ttV�S tfffff G YV Signed(Owner or agent): Date: 6 70 '1 d > Owner/contractor/agent is aware that a permit may be required from the Building DepanYnent(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 only: Date: 2 -11) Approved _Approved with changes _Denied Amount ao Reason for denial: R1=CE11/1"L D Cash/CK#: (o357 AUG 2 Rcvd by: Si/ i 2018 TOWN CLERK SnUTlI :;` H, MA Date Signed: Signed: „..4L.4.,5: APPLICATION#1 O [ 0 0-4 V5.2017 • O Front Elevation © Left Elevation PINE HARBOR OOD PRODUCTS SCALE I/71':I-Q' SCALE I/4•=r-0•• PINDIARBOR 1-800160.5NODM 259 Quote Anne Road AIwYICA,MA 02645 1 mm um npuum ____ 10/12 Pltch xi p If°e1+5°.xe00 _ :::08:430-1115 i,oIse —- —m=��rrii� i 0 be. pI A be., w • ---==---_—__— bcltedfral SM1RY� �\ ��amma__����� M1' 'a�Od =O C ENGINEER'S STAMP m. p _ PVC Trm D` o � :I■ _ IIIL, _ \.■ _ viii _ _I iii _ �rn o aj r.om --- ---4 — III II I7EverLpst+�`Com Sting Goad ad Batten ill Dka PROJECT: } 4'-0' 1 i--8,-0' i 8' x 14' Quvett Cape CLIENT: Bruce Burger ADDRESS: 85 Pompano Road © Rear Elevation © Right Elevation Varmouthport MA 02675 SCALE 1/4'=I'-0' Seel E 1/4.=r-0' Ti------ilri PHONE: 717-940-7947 { n E-MAIL: • /1_1„, iZD �Ibburg53®comcastmeti Cr?Z7 ial' PMAnwod (ri '-� ADDRESS OF PROPOSED WORK: C) C �q 85 Pompano Road • � , '� Iy N �.�/l Vormouthpor[.MA 02675 zz _o �✓ _, { REVISION DATE: 8/16/18 CO ' •Board and Batten Road and Baum III 11 - Ili irLO DRAWN BY: m C r UnlessScafe I///h 1 noted �� C1144—t C c in Page A1 nc ti ZS o a pecan// Gf4 4t..v'E4. . .66;o - • ..J_I - — q ?S ato.ca .1a 14" 'x11 l9 e'ns•,',,„atzt„,,,••7 bt?+.'V Inr G7:V"' •:!•`i.saW..,. 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