HomeMy WebLinkAbout18-E126 it O
° YTOWN OF YARMOUTH
lot c„ , „„ 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
"' •--. Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 _
REC 'E'l ING'S HIGHWAY HISTORIC DISTRICT COMMIT
ECEIVED
NOV 20 2018
NOV 2 02018 APPLICATION FOR YHKiV1UU l H
CERTIFICATE OF EXEMPTION OLD KING'S HIGHWAY
TOWN Ci Eme .._.-. .
AppINATilsYFt bKyLo- laricaRr the issuance of a Certificate of Exemption under Sections 6 and 7.4f•C.bapte 0-ef---- -----`
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: lI l_
Address of proposed work: �U���l�l�'J)l� : I ;JU !� rJ?r 2 '—
p p ) ( )1 , Map/Lot#
•
Owner(s): 11)i Dl9', N '� l,,F'}'\t i:)I Phone#: S- L( r 7 /
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address \%•-" c 1`%I 11� i)i i \A it . r ')/ Year built: 1 I
i
Email: 1 A1)t'', .‘j<' ,-,i i N • COOPreferred notification method: Phone Email
Agent/Contractor: --t, C)' e c rpy" Phone#:
Mailing Address: a,t,,.,-z oo C.. �
Email: Preferred notification method: Phone Email
Description of Proposed Work(Additional pages may be attached if necessary): ,
C\Any., co or (-cbccH ei\ c'�vr -t' 1-'e vn -Y c Sh J 4-.4-e ii__
- 2ec1_ y/S. I�
4 \ ccr;+ rc,Jc -}11-t
(a-`)x,r 51,1tn(51 , 1 W t1\ v-A- G,-rvr\
1✓moi . ,1 .
3{6n(6.
Signed(Owner or agent): N' Ccs,n,•t/'l Date: ///dr..,/01-e/y
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: Approved Approved with changes q Denied„
/'� 4 � ' JE®
Amount U Reason for denial:
NOV 2 0 2018
Cash/CK#:
YARMOUTH
Rcvd by: OLD KING'S HIGHWAY
Date Signed: i//.20/.Z Cfr Signed: (..7* -C. A -
i APPLICATION#: 18 - E 12 6
vs.2017
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Zestimate� Home Value: $277,�07.
simply Beautiful home if you loveeee
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