HomeMy WebLinkAbout83-2041 - Bldg Permit SignooffTown ofYarmouth
Conservation Commission
Building Permit Sign-off Application
TO BE FILLtrD OUT BY APPLICANT..
Buitding Site Location: G( 4 rrvlg S trv--tl- S 'vz-r rtn".(l-
Map #q Lot(s) #t7
Property Ou.ner:
Applicant:€T?t*^ A, (.(/
Applicant Address c\Le
TelePhone: "17 L/ - </ 7- OIO 3
Proposed Project Description
Plans:
TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR:
5 bl,r
Do You Have A Valid Permit From The Conservation Commission For The Proposed
Project? :.1g5
At the end ofeach day. the area shall be clean and no debris shall be in the Resource Area
Reler to: SE83- /CX-{O or DOA permit
on Contnissiott:
Conditionally Approved
All work related debris shall be taken
Conse rvatio n Co m mission S ig n-off Sign ature z
Comments .from Conse
Approved Rejected
r isposed in a legal upland location
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