HomeMy WebLinkAboutSE83-2139, 25 Powers Lane, Bldg Permit Sign-off & Preconstruction MtgTown ofYarmouth
Conservation Commission
Building Permit Sign-off Application
TO BE FILLf,D OUT BY APPLICANT..
25 Pouers lanz
/+Lor(s.) ##
Propern, {)u,ner'c
Applicanr.rnk*
Applicant Addtzss lf Jfup/e St lthh*z (ourt(ot!
-
Date FiledTelephoneSoSz?/ 7727
Proposcd Proie{1 l)c:;cription:m
Pta,s Tlk,q,E?"-P/on o/ 2,< fturrrs la./,a
TO BE FILLED OUT BY CO\SERVATION AD\{I\ISTR{TOR:.OVrt/ 2$, ?'a/C
Does lhe Proposed Projecl Require a Permil?
n Commission:,
Conditionally
C o n se n'alion Co m m is s io tt Sign -off Sign at a re:
All work related debris shall be taken offsite or disposed in a legal upland location
At the end ofeach day, the area shall be clean and no debris shall be in the Resource Area
Refer to: SE8;. 2131 or DoA pemrit
ro
Comments from Cons
Approved d Rejected
abolrt
Bu i lding Site Location :
Mop#-
Dole:
Yarmouth Conservation Commission
Pre-Construction Meeting
s E83-2139
Jeffrey & Na ncy Robinson
25 Powers Lane, West Yarmouth 02673
/illk AlardorV.
[1/ NaraLonta
sDB 27/ qz27
Signature of Acknowledgement; My signature acknowledges that I read and understand the Order of Conditions,
o servation Commission. A copy of the Order of Conditons will
DaP aile Number
Address
Company
Contact into:
Other Comments:
MAY NOT be in work.
including the special conditions per the Yarmouih
remain onsite. f
i
ci
-
1J
Order of Conditions Recorded?
File Number Sign Up?
lrosion Control: Your sediment and erosion control has been properly installed in the appropriate location{s)
Y
ftlr*
s /pf2.o/6
u/ Sr/e
r"/u c ho t"
VlJ /Lbzrl re
MAY
L'O t4s