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Home My WebLink AboutApp# 18-E133 V ,...-5.„-- -4,7,,,,,, TOWN OF YARMOUTH ° ',I• ir , 1146 ROUTE 28. SOUTH YARMOUTH, MA 02664-4451 `r �j "`�"� Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 l DEC 122018 IRF 'SLC ING'S HIGHWAY HISTORIC DISTRICT COMMITIT rHnrv' ! �KINGS F/GN UEC 14 2018 APPLICATION FOR yW—� CERTIFICATE OF EXEMPTION SOUTI�w/yN 1C��LERK Application iS Ei rVE:�1)..trp,944for 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; r Address of proposed work: G c IJ Z� IZOrz L GI' 1 1 "11-W00114 pCr\- tt4i-- Map/Lot# /33. 5) Owner(s): 1i-G1E�-T (' I rL-l✓} Phone#: 47,!6-2-1(0 -6/7/5— All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: Z 2-Z it7U �.(p14 k pi-rt l Owl-) 4 f e11i¢ Ol 7 Year built: 19 S 3 Email: F�r�r N �U� (6, i- 211Trv1 r!-IL , LOGO Preferred notification method: Phone x Email Agent/Contractor: Phone#: Mailing Address: Email: Preferred notification method: Phone Email Description of Proposed Work(Additional pages may be attached if necessary}: e: -I-{ Pc-Ni(.,1c F11-DM I 0 r= \eo0“. LI o(.vY\ Fwowt 0,0w ( 0 14-AMQ lit 0tc._ 04,111-144"r iMb • 1"r'i i C 0(,c FL- 5r4"-14 S _iv (`-1 I t-6., M.A.IM-94.. S{4v��1-s f-wo,AA --i01--4A-1 OCkYt Pic:11- C oLGeL. '7-0-1. 4 w(! in 6_ bkid h S Flo.prouitc TO t t Givitkic wyN70 t' S H-u7Ta//, Cetokt.- y 22 4l Ari Signed(Owner or agent): !� �� 1. Date: 2�q- 2Q( 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: I Date: !a—/3^f d Approved Approved with changes Denied Amount ao Reason for denial: JAPpRo Cash/CK#C A61.1D DEC 1 a 1�,3 Rcvd by: &/ , Mo OLDK NG S HIUHW A AY Date Signed:// /2O/g Signed: (J /4 _APPLICATION#: / g LT1 33 V5.2017 - • - - - 74.jii-11,,---,--,•-..,..7---,-----': .-'-- • , . •--'. , .1.k, •,...'---..,...:'--_, - , ......... - .- --.4 _ _ _--- _ - , ...---..„. • 1 \ -- - ,... .i.-• ri._..---r ,-.:' :',. .,,.-,-,-...4r-lr:.? <i - ,....::::-..... _::,...k.*2- -7' ..,-....:.• '..-.v.t!" --_ • ll -2, i X T..•1 .-..--._, y-(.:..) , .. . .f,... .--.,.-„... ' I .. :- .•,:' .54-:-°444.- ,...-.4 ;,.. ,,I......., __ _________ • ) -..,-- - --- <z; >- n Lu __... .....-. • • --, 0 I < i „,,,,*,..- , -.... •._,-,:...:-.,..,-.•'•-•-•;',"-.-.1.-.•...., -e4., ...* - - - . ...•.......,. .....:„. D- At? ,..,..t, ._-. ....,,, . -,-- • -..-- 4,--..1,:-•w.,...wit---- __ 4- . -_Ng, .. . . 11,11 16----......„,..._., _ .4 ..., . . . .-.-- .. . Us! .• .... • ,o-- ..-..... Q (... .z-- . ;... ., . ...At,.. . - - t /....0 _.._ ___._._._.____• ef!jo '' ,. J -.. • 4..--- ,...., J Z _:-.. --...; 7-•'--.,- .7s'CO ... - C - --. ^ i --.., -4. - . '!•-__ , - :'- . - CD - 41' 4.---,„ ---f.. T. . • . . . ; .--1 , „...4.i„...,..::jg... ., -60.....mr,dea . thrri• i IL .. .' 1 .- 1...._ -.&, .''S. t ii” , 'i ! *., ir vitorir.. , . •i- 01..._ . . ... - • -,.. ..' - • .• '"*. < ..-' IV 40... ' .%C..- . .0-.- ,''.,..... ' -4t, .'. .- • . . . .• .. . . .., .. . . -. -.- ..t. •..,,, .,i ? 4.. it .:< - • .,-,1110........V. .7-c .7.1k ..,.. ..- * . . ....'4. ...'. 'Si'.?-''.. ..,-":"....d,-°...r. *4 :- 4.. . -.$ 'ITV", -.• ti, 4.14.-,.......`,44---:-.. ........--"ii. - -,tgr. ...,... -",... .A., ., -..,. . -... *. '' •. --- . ..: . . - ...!...-' ik ..: ,,....... * : , '.--.,,.- „.,,. : - w., . *-4,IL • •• ....:- - 0 %. - -C:.. .• .` #.'4;Wilr ..-' . . LU :20_ i 4 - t ,,N, . ..i. 4, '_ : -. .„?J.:: ...,, cNi w .., ::' ',..7. 1,12 .,;-- ,-? - -A- - __ _ _ 4 24.?---.- ,.-,-- --- .„.,4 -,...- -'• • • .'4',4-pe. -,:;;:-s•itie‘—'144.i- • 401or .. :,.... . _.,.../ >.... . . .. . .., . ...., - - .„. _ ,... .... .,........,.....„ . . . . . • - :-.., . CO — - :•' _ - -- •:_0..--•--.—--- - 41-**3:-- Not • - • '• - fffe" .