HomeMy WebLinkAbout18-A095-A1TOWN OF YARMOUTH?
d 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-445
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
1#
ECEIVED
MAR - 6 2019
YAHMOLITH
1
D KING'S HIGHWAY
AMENDMENTFORM T
("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 #: 1 �— A D 91t) Original Approval Date: 9-.211--/
Address of proposed work: 55 Dr r �— Wo o 4- M P,
Owner(s): �eH �c Phone #:
Mailing address:Q �oX 5g I Imo/y�� pbrT ✓�� U 2 6 %�
Email: ^C `J&U40 • (P^'&-, Preferred notification method: phone _Email _US Mail
Agent/Contractor: Phone #:
Email: Preferred notification method: Phone Email
Please describe proposed change(s) and attach plans/photos (as necessary):
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Signed (Owner or Age
...........................................
Date
/Approved by OKH Denied by OKH New C/A required? Yes No
Reason for Denial:
Signed OKH Chairman
11/2015
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RECEIVED
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