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HomeMy WebLinkAboutApp# 18-E094 a D�Y� _- TOWN OF YARMOUTHREGEIVED r 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 SEP -5 2018 Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 YARMOUTH RECEItOL9 KING'S HIGHWAY HISTORIC DISTRICT COMMI E---NG'SHIGHWAY SEP -6 2018 APPLICATION FOR • CERTIFICATE OF EXEMPTION TOWN CLERK 'r • Apps liO caionYisfherelgtil de+for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs accompanying this application. r 3� ,fl3f SOy' cc/ Type or print legibly: - Address of proposed workLp 1.572-Mi xj ex G �E+��PU AR Mapot# iis1 iso Owner(s): op/se/4A/ 6.2e-thee 6takc-r-nu. C 6) Phorc? 74 24 w "h" All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: aI a fmit My yrs' flO2 �? - Year built: 1 9 7J_ Email: - Preferred notification method: " Phone r Email Agent/Contractor.Rtlf' &T IJV R&/.//xfW 6L , '�yJ(/� , IIIS[ CO�1,4Rv�7iP4 Phone#: e/ 7/6 OR/ Mailing Address: 3 ' \ OGt f`��/r Wi R , /n A eons Emacbal 4 eAm Mg(e5 ilf reap fir• �ed notification method: Phone Email 1 Description of Proposed Work(Additional pages may be attached if necessary): A 1-1_ k Amos, At. havr 4r 1le5 / G 1 -, _ . �. _. t •e fc-orr\- ; P.efAaee 't , kvic-1vw re ;nw dvi- % acr- r L:Ke/L:KG .- ..- - . . (Z,jh+ ; ' Rist,ptcur ,a t -4: t SVrae C u,4e/L:M c to L K./rk e. R tact a 3)+41 'k- t Eslrari or+ar-I mi.not) • Lem . �P fo .c : Re�ptaee. 'lb - �3 s\:bcS L'Ke/L•Kc J fnolaea l �o� w -W. a D+}J retptace. t Ra `441. a lAA itit Signed(Owner or agent): ' Date: 2/2 o b 7 • • > Owner/contractor/agent is aware that 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 only: • / Date: q-S s, /Approved _Approved with changes _Denied Amount 0D Reason for denial: APPiiOV Cas K#: 2CA5 SEP - g 2018 Rcvd by. 6 V ' YARMOUTH X11 Kl 4c'S I HGNu1Kgy p t Date Signed: '/‘Pa ii Signed: CZ CP •�ix�� +� `� 1 U - E 0 9 `t APPLICATION#: V52017 , (RECEIVED f EP -5 2018 YARMOUTH INGSHIGHWAY Sou;;; APPROVED �u1 mi; SEP - OLD KYINA SOH6 GHW2018AY 2 r ti ri f1 1 v \ *7 18 - E094 1411(‘ i. ,J,i ' ' ., ' ??? s At ,541 , , „,i, il., . • , '1/4. i• ��iii ® !W ti! int "f, i /� 1� f f- a ;, •I�,a �;IBJ ly { r�rf s • — ,11 ',, .,,.....t, v.„ ., . ,, . ,y...: lr -- , j �. 1 IJrIII I I v! • r. , ,,rg, 01.,..,• ti ' r y, 111 iiiiii 1 'Is1/4..v. 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