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HomeMy WebLinkAbout19-E081G 0{o�Y y TOWN OF YARMOUTHRECFi : �. ��c � � i � 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 / Telephone (508) 398-2231 Ext. 1292 -Fax (508) 398-0836 ,UG 1 . 2019 RIFF` R&EE G'S HIGHWAY HISTORIC DISTRICT COMMITTEE 'hKi�'►uu i r, •� . �'NG�S HIGH IvAY AUG 2 8 N'18 APPLICATION FOR CERTIFICATE OF EXEMPTION TOINN CLERK l Applica%)01114rr,6y,t���or tthe 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: Address a Map/Lot # '?. L!6-- Owner(s): �>T,(jt"_ QQ6jt&L2 GrJ�I'� Phone #:_:mg 7?�0' All applications must be submitted by owner or acco panied by letter from owner approving submittal of application. Mailing address: fes( X�twP'T_ „ Vs L7 Year built: Email: M2&_k %2�j 010;715 / rp/' / Preferred notification method: Phone X_Email Agent/Contractor: /t% ��Q� /�i�}(.rL C2�,+lJBpy CS*Z-F-S �T) Phone #: Mailing Address: Email: PZ:QNB0ys-600-02AIL , e01)17 Preferred notification method: �_ Phone Email Description of Proposed Work (Additional pages may be attached if necessary): 3Fk��� RP�Q4V/9� R E>!')')ov xls`Ti/)�- A�'�7 S'oL !t� F'Ro L�At v :>o,l 0 4� wrr'4 �3L/�ClZ Ff o,+�r-,� y I�'�2 WITH S1771Y_L OVft . Cr4AISS U)IA)DO6 J //&E'izT-. HoIn - IS /-C< 7"&D f -T C ! -PESIEe-F S�P-5' Y#kM4y-" PM -F.., okj cud Z:�E s rc� H�eax I rr�iR-TrC y I 141LE Ik �D ©FF R©l.6 t -fl jC.QJd����.. 1A1CLu.b Signed (Owner or agent): J\Date: > 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: g ao Amount o Rcvd by: _ �? 1/ Approved Approved with c - --- - - Reason for denial: ��-- P �--' O D KING'S Hivl-iWAY 1. Date Signed: 6Z 2 0/ 4 Signed:Z'— APPLICATION #: V52017 19 -,moo 81 ■1 16 RFr AU2019;, D KINGS RECEIVED AUG 2 8 ZU!,4 TOWN CLERK TH YARMOUTH, MA Doors Being Installed: 0 •"f RECFIVED-, AUG 2 S 2019 YAKIVIUU I h OLD KING'S HIGHWAY RECEIVED AUG 2 8 ZU19 TOWN CLERK SOU TH'(NFZtAOU T H, MA APPROVED AUG 28 2019 YAKIVIOUTH OLD KING'S HIGHWAY ztV0 AUG 28 2019 0 OLD K/NGSHIGHWAV > w 2 7� E 4w 4� 0 (n _0 C) -r U) a) :3 -C ftf s" LL 0 00 G 0 Z; 0 LL +- 0 E 0 c :3 c C)o DD 0 4-4 75 -C E Z Li 0) a) 0 0 C: co - "a N r- I? w C < ro x zo �5 i;5 7 C) c c c M L -C C E C�4 0 C 0 I m a)s. m C: C w "fit C.- -j 0 —co '6 m 0 3., —..-o C CL E r 0 Z M 0 E E a) 0 M r cn 00 Z C: :3 C 0 (n 70 0) (6 4-0 1 :L- CA - E :3 tJ- E E E 0 zo Ch (C) 'E 0 tz X m 0 0 -0i US g j I i I I s I I I r I I I I I I r I 1 0 (t I I I I RECE11 0- VEJ) AUG 2 6 Zul& SOIJ 7'OVL-lq CLSRK TH YAiRMOU,-H, MA APPROVED, AUG 28 20"19 YARMOUTH OLD KING'S HIGHWAY cu W c Lu