HomeMy WebLinkAbout20-E014TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0g36
G'S HIGHWAY HISTORIC DISTRICT COMM
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APPLICATION FOR
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nppricalfx iJht#61{v+uro,ftt4he issuance of a certificate of Exemption under sections 6 and 7 of chapte r 470 ofActs of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
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Owner(s):nwd Phone *, 7 2?-??f- C9 3 /
All applications must be subm or accompanied by r owner approving submittal of application.
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I Preferred notification method: Phone
AqenUContractor:
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Signed (Owner or agent):
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Phone #I 77*?9-CI a
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notification method: Phone ,r/ Email
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Reason for denial
Date Signed:1
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Own erlcontractor/a gent is
This certificate is good for
aware thal a permit may be required from the Building Department. (Check other departments, also.)one year from approval date or upon date of expiration of Building Permit, whichever date shall be laier
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YARMOUTH
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Date:
Amount
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APPLICATION #: i =ECH
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RECEIVED
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TOWN CLERK
SOUTH YARMOUfH, ft4A
https://mail.google.com/mail/u l1l#inboxtFMtcgxwGDDqlBWfmcnhDWTf NDhTwDWN?projector=1&messagepargd=0.1 1t1
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