HomeMy WebLinkAboutVariance Approval Application 60 Alli/t y Jean' q
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4TOWN OF YARMOUTH
-.j„ `'3� 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451
MATTACMEV
*'"0"""'.'GC1; Telephone(508) 398-2231, Ext. 241 — Fax(508) 398-2365
BOARD OF , HEALTH
APPLICATION FOR VARIANCE APPROVAL
Applicant: r)cxnn -, `1`foe.4k -+r.te,..Owner: Se-t, ,ht'e
Address: 15+ \Pr Address: I G ie v'° 0(4, ryi L n
Phone#: 5D -LI 1'a-410 Phone#: -1t4
Property Address: I S` G.--,‘ 111.4.--- )'314 yr\ L YN.4 a Y
Street/Lot No. Street Village
MAPS ) PARCEL VI
New Const./Alterations/Additions [ ] Voluntary Upgrade [ ] Failure UV
Description of Variances Reanested:
Title V. Section: Sei C5')..`,, /S� I
I inti -/b SA-APi . /0 ' rec�,) s'� rvr.) S� ►/'erg--,ice
Cr—etw ra)r-N : e).0' reed . ! 10 ' p ry►o,, t Q l V a r t a r c �..
Sec- a-v- /
3) Qo t--o - ,�-�- S. A,.1 a dj ,'d j ro uA- tvo -W ;d;' r-r-4 , Li 'p p, ,
I ' VArianct
Town of Yarmouth Regulation, Section:
S/�,.S, e_ -� ► cr1
too ' r e , 6.0 ' rt/0,) &/ // q ►~ ar+.c e,
Design Engineer/Registered Sanitarian: OA,n Aot.,
(Design Engineer/Sanitarian is required to attend hearing as the representative.)
Phone#: 5'ae"- u3.2- �S
Qt. C). 67..14/0(0
Sig a of Applicant Date
I/04
i-i) Printed on
Recycled
LTA Paper