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tilati' +'� 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 ®C/'�EI\V(E I
Telephone(508)398-2231 Ext. 1292—Fax(508)398-0836 [`L.l.►
RECEI a L' KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE OCT 2 2 2018
YARMOUTH
OCT 2 3 2018 APPLICATION FOR OLD KING'S HIGHWA'
CERTIFICATE OF EXEMPTION
TOWN CLERK
AMITIUnYttiFrek4gblyThildtfeekfor 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.
Type or print legibly:
Address of proposed work: G ' E..a R 1r R E P B c r✓y lit! Map/Lot# //1l/i e
owner(s): Paul Dri/t n!/ f /YAit�'t 7d!!!i// / Phone#: •• U - Q7 4 3
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 11 Li /Ovid 4VE,UbE SO4rewi//e/ #4 0 2/9.1• Year built I I 1'1
Email: Preferred notification method: r/ Phone Email
4.E.44/ U SOWDE$/
Agent/Contractor.. C4p;22i /{Oya I'n/VodeNE'R/// rt-4 Phone#:
Mailing Address: /& 4"C A eattouia no C o rui// H4 •2.1. 5 (
Email:7e41,11.#2 CA//y?ii/Dna . Con Preferred notification method: Phone ✓ Email
Description of Proposed Work(Additional pages may be attached If necessary):
• Rt:ptmra ream'• e %ei,gea/to ainH /lateolor NAN& JElect CePait /i
Coln/ /7Ear CRAY - G fpt,Ares
/(Epaiit/t .Z E/Lacy Ivo✓i a r Iegmkee f lbws -
SeAl A-hiif . Moore. • Aray° Thep ) C.4/44,r/fe - Coloro,F ^ME lEAv 420/P
Pal- B/4e/c Malin' . .g.4ti� od /�•da
Signed(Owner or agent)) aCdk , rL 'Ic. Date: /0 /ZO//sf'
D 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: /O /� —Approved _Approved with changes ..._. Denied_
Amount an Reason for denial: APPROVE®
Ca ,t 2..3at OCT 2 2 2018
Rcvd by: .617YARMOUTH
OLD KING'S HIGHWAY
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Date Signedb1Signed: (RA L -)l/ . .__� APPLICATION#: /8"'"0/67
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RECEIVED
OCT 2 2 2018
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Pearl Gray Siding I James Hardie Page 2 of 5
Live Colorfully JtO
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polished RECFIVEb
OCT 2 2 2018
YAKIVIUU fH
OLD KING'S HIGHWAY
COLOR TIP
CHOOSING THE RIGHT SHADE
APPROvE
Think about the hues you love, the mood y to convey, OCT 2 2 ?[+
and the setting in which you live. Get inspired l rVED YARMOUTH
OLD KING'S HIGHWAY
OCT 232o73
See Pearl Gray Homes... SOUTH gR CLERK
OUrH, MA
https://www.jameshardie.com/color-and-design/live-colorfully/pearl-gray 10/22/2018
Fiber Cement Lap Siding l HardiePlank Lap Siding James Hardie Page 3 of 7
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OCT 22 2018
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OCT 222018
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rlt natural cedar look has a soft texture that mimics wood_ -=___
DESIGN ADVICE: ` kcl�oies for f�istoric homes,.mountain claales wend red
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Request a Quote
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haps://www.jameshardie.com/products/hardieplank-lap-siding 10/22/2018
Rcoveo APPROVED
OCT 2,,/(118 OCT 2 2 7.018
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