HomeMy WebLinkAbout20-E015a
TOWN OF YARMOUTH
1.I46 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMI CE;VED
APPLICATION FOR
CERTIFICATE OF EXEMPTION
YAFTMOUTH
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and IN
Acts of '1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
Address of proposed Nrap/Lot #
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Description of Proposed Work (Additional oaoes mav be atlached if necessarv):
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z Owner/contractor/agent is aware that a permit rhay be required from the Building Department. (Check other departments, also.)- This certificate is good fo. one year frcm approval date or upon date of expi.ation of Building Permit, whichever date shall be later
For Committee use onlv:
Date:
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Date Signed ,9
Approved with changes Denied
FEB 27 2020
YARMO UIH
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