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HomeMy WebLinkAbout#19-E070L.0 S°F`Yc TOWN OF YARMOUTH °� 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 RECEIVED !-V, KING'S HIGHWAY HISTORIC DISTRICT COMMI�F?,� � FiVELd' APPLICATION FOR JUL 3 1 2019 CERTIFICATE OF EXEMPTION 01 2019 TOWN r fTlviu(J I H Appii LER the issuance of a Certificate of Exemption under Sections 6 andl�o �Q'4� 'Rwy Acts of 1973, as amende ;for the proposed work as described below and on plans, drawings, or photographs accompanying this application. Type or print legibly: Address of proposed work: � � (� iC � /^� Map/Lot # � I Owners :K (t h� 6 1"�j )f ri it r �- 4-Q. ' CCC,- y � V1 Phone #: 907 -a--7e) - S JQ All applications must be submitted by owner or accompanied b letter from owner approving submiisubmittalof application. Mailing address: A G1,✓ VV -t-- W I 041K 1 op -G 7 V— Year built: 1 j - Email: � Z� Preferred notification method: Phone V' Email Agent/Contractor: UU /z �ii j } n,, iPhone�#:: � � ( � IZr Mailing Address: _ - CA DiGIf,1 140 - �CrYlZI(9=- VMa,YS.l OAS MAJ I(r t _/ �y*�+ © 1(og Email: IS PIM &1 1 � COVVX _ "referred notification method: _� Phone Email ' wk o �- rt�b -� � • ZQA�& i �A[OD) r�i�3 CSI (VG"/ girGt" ) tau � � �Y ��� ��� � ��-�C L�. '►�r� kw C ao-- Signed (Owner or agent): Date: J U ILA 07 ➢ 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: 7 'J2 a —/ / Amount in Cash CK d Rcvd by: ✓ Approved Approved with changes Denied Date Signed: -713 / l ! Signed: " JC• APPLICATION #: oc JUL SO 2019 iu !D KING'S HIGHWgY APPROVED JUL 31 YARMOUTH OLD KING'S HIGHWAY r C vep Figure 3 Single Type 'Silver Birch" Colonial Slate Resawn Shake 70ttage Red Driftwood ®fk E;. Silver Birch ^eathered Wood Figure 4 Birch ") JUL 31 2019 T(DVVN CLERK S`'UTH YARMOUTH, MA Georget< See ,"a X070 8 Gannet Road, Yarmouth Port, MA Figure 1 8 Gannet Rood (facing Gannet Road) Figure 2 8 Gannet Road rear CSIVED; JL :4 0 20 i9 I-AMIVIw I tl NG'S HIGHWAY TROVED JUL 3 12019 YARMOUTH KING'S HIGHWAY JUL 312019 CurTOWN C�En,,C H Y Af?MUTN . MA