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HomeMy WebLinkAboutApp# 18-A114-A1 b 6F-�Y TOWN OF YARMOUTH i FLHVED- ' ,C 1146 ROUTE 28,SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 i Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836 ] ?018 `Al \,,,.....--; OLD KING'S [IIGHWAY HISTORIC DISTRICT COMMITTEE t Hlclviuu I tl OLD KING'S HIGHWAY AMENDMENT FORM ("MINOR CHANGE REQUEST") A minor change request must be submitted within one year of the original approval date or while the work is still in progress. Only a minor change may be approved by the Committee without the filing of a new application. PLEASE TYPE OR PRINT LEGIBLY Original Application #: /g---/-1// / Original Approval Date: 1)-/( /Js` Address of proposed work: /55- jr_.1.--;,.. 6,-� Ir:,-� 4,--) . c -��, Gc.;*h /�c.~-f' Owner(s): f f! I ( ( ;t_,,,,i (/ A.--,L...,,..4._5 E,(e____ Phone #: S.--- `,�- L{(-; P-(1 )( Mailing address: / —S--- Ex`i .-1.--e,-(___., (..i.,-44-4A-)- 1`'.4 -\)Email: ( IL — ,1 C1 (5:-- ---91--Preferred notification method: Phone —Email_US Mail Agent/Contractor: 5r L- Phone#: Email: Preferred notification method: Phone Email XPlease describe proposed change(s) and attach plans/photos (as necessary): c--z, ta- 1 c-a--$2._ ot .1---(10(4....4- e.,--- (-2- _:.4 Id,...e.7s, c----$,. . 4e.A.S.e4 v' b r,L -(4- , ---- A-00 -4---(__c_.--4---c: =--e_ 0-(.., 0 "2 Signed (Owner or Agent) CLU--°--/ �'�-' Date ed- / (q ( ot Approved by OKH Denied by OKH New C/A require. . Yes No Reason for Denial: . F;; r t•'W5.' 6 RECEIVED 1 1.7- 1: .'.4., . 1 DEL 21 !_tA DEC 21 2018 ,4KlvIvu I TOWN CLERK OLD KING'S HIGHWAY BOUTl-i YARMOUTH, MA Signed OKH Chairman �� Date / 2// 2.` Z 4 / AMENDMENT# a--14/P1.-41 11/2015 �- BUYER:LIVw FCEI . V.-E.— L�` t?-T `� ! Nov 13 2018 YHK WOUTH OLf7 KI'NG'S HtGHWgy 124. '77 Lo.-r- 771- ED I9.),q l2 , DE;; 1 9 2018 I YHrt,ViUU I H i _ LD KING'S I NGHWAY . r S G�cx . I ! cs (.2 J o ,`ll -1-A'd1ZY J zl5 DI 7�i �� lal (. 102018 ` OLD KI 1KMUUTH — — fir . -- - WAY RECEIVED BEC 212018 - eG��VE,D L .�1 f- 1C.� ©i�l LAI-4P uE�, . SOUTH YARMOU H, MA 7 1 A v- ED 2418 S UT wN cr. DEL 2i2018• ARaIOUTHMq `X 7.rt,l� J1� , D�,,s��,�,t i-1G-, ZpN L YAKIUIUUTH OLD KING'S HIGHWAY ITS A� .� - mi , . A i GeIll. ) MORTGAGE INSPECTION PLA To (M AANDIMIKINSURERS.uReRs. LOCATED M� 1-1--�- ) CONFOTRM TO SETBACK RE0I,IREIAENTS I C£(FROi THAT THE REABUILR SE SHOWN DO W F_NFOR M MASSACHUSETTS Y ACTION UtJDER AIA55. JI.L I.E. N CON, $,OE. D REAR SETBACK 1 FRO OF R t EFIFOR L 1l CONSTAPTERD. OR ARE EXEMPT FLES HOER D. 1171E W. CHAPTER OA. SEC1101i T, UNLESS Of}lEaNiSE NOTED• D ELti u LOCATED IN 1HE ESTABLISHED FLOOD {"FURTHER G1 Ii11FY THAT THIS PROPERTY cr7o117 DAIE'7-2',Z BOOK .......v oe►.irl 1-M.:^7-542015 ._ __ ...r ovrnnncn 1 , ( 11--1