HomeMy WebLinkAbout20-E009C)
REC
TOWN OF YARMOUTH RE'c EI D
1 146 ROUTE 28, SOUTH YARMOUTH, MA 02664.4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
FEB a 4 2020
Rino UIH
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Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 4ZO of
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
FTB T 5 2020
KING'S HIGHWAY HISTORIC DISTRICT COMMI
APPLICATION FOR
CERTIFICATE OF EXEMPTION
TvDe or orint le qiblv:
Address of proposed work h f L:rn", zb* Roa
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ons must be submitted by owner or by letter m owner approving submittal of application.
1,<X1 kac.1 ('+accomoanied'A)e",t l'*,14/t
Phone r/enait
pnoner,r5?8 -L1l- 3 r)3
All applicati
Mailing address
Email 6co ',->flO cz,le 1t2a4-..te I Preferred notification method
Aqenvcontractor: Scr+[ *," ,,1
IJ 2)2 I.^JIC 3,t
4r4^ Preferred notificati on method
Description of P
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crLc.tb
Date
rooosed Work (Add al Daqes mav be attached if necessarv)
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- Owner/contractor/agent js aware that a permrt may be required from the Buitding Department. (Check other departments, also.)2 This certiflcate is good for one year from approval dale or upon date of erpiration of Buitding Permil, whicheve; date shal be later
Date: 2-u/'Joza
Amount a C
Rcvd by 4+
Approved with changes
+PPROVED
YARMOUTHnl n kr^r/:'c
v5 2017
Signed €r1
APPLICATION #: ;/6'f@?
Map/Lot # _
Owner(s):
Yearouttt: l4 68
Mailing Address:?o
Email:
Casntcx*: 3/4
,./epprou"a
Reason for denial:
l4nonu
-Emait
_Denied
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Signed (Owner or agent):
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For Committee use onlv:
o.t"s'sn"a, 2k/2.2,
FEB 0 5 2020
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