HomeMy WebLinkAbout18-A078-A2TOWN OF YARMOTITIT
1146 ROUTE 28, SOUTH YARMOUTH, I\{ASSACHUSETTS 0266 4-445t
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
AMENDMENT FORM
RffiCH$VED
t)cl 0 u ?Uls
TO\TVN CLETT.K
SOUTft YnnntOUfH, MA
(,,MINOR CHANGE REQUEST")
A minor change request must be submitted within one year of the original approval date or while the work is still inprogress. Only a minor change may be approved by the Committee without the filing of a new application.
PLEASE TYPE OR PRINT LEGIBLY
Original Application eo2tr-*tr Original Approval Date
Address of proposed work & \ A*"-''n€AJ
Owner(s):{A a-rv e-B 75-6,--9,- fu,.^a-9 Phone #: €t>k -A --l b:9/ r3
Itllailing address:&t AA
Emait: 3\Z^A t-WqP bnvt(,aS+.VleY Preferred notification method: Phone Email US ltlail
Agent/Contractor: phone
Email:Preferrednotificationmethod:PhoneEmail
Please describe proposed change(s) and attach plans/photos (as necessary)
(*\
Signed (Owner or Agent)
Approved by OKH
Reason for Denial:
l0 -Z ot
Denied by oKH New c/A required? yes _No
Signed OKH Chairman
I
1112015
t-
AIVENDMENT #lk* fr@?&-
)-A &
I#.aisLt
A$F}{-+Ai._T
urff:p,trre #fitLlNG
x -{"**-'- *'"".-..-**{...-{* *'.....t.'.
U,PF*,ER CHItll-.{{;
Ur}FTR FL$Ore
*nrx *EiLING:
lx4
f,#ffi'{frH ?Hr'f
lYtAf i FIA#lft
E-.
oa
so{T\s
-.
RH fi,H f;LTVATIAI\I RHCHIVED
OCT t) IJ ZOlg
souisVf-fif'lf-' NnA
l/4" x, I*- fru b4n
t;l ll*"i,*.1 "-*+*+***^,;l ll
ffr
&SFI+ALT
UPPHR *T[LIN&uPrgR *trtllhlG
-- umqqffi"rlfi"*tr
l',IAIN SEILIh{*r.
RECHIVED
ocT 0 I .t01s
souf,?W**S[-,NlA
IX4f* fic)ffitHR ?RlP{
fiAlr'd rL##R
s
\t
-.J
T$u
HEAH HLEVATION
ry
ll4" * I'- #n'
)
I y/tHruiUU"l-l-r
, i*"glP""5lNG's HlcrtwAYW *J