HomeMy WebLinkAbout19-A050-A2a,_./
REGEIVED
FEB 2 4 2020TOWN OF YARMOUTH
l r{6 ROUTE 28. SOUTH \'..\R}!OLT lt. }lASSACHT SETTS 0266,t-4t51
Telephone (508) 398-22-tl Erit. 1292 Fa!i (508) 198-0836
OLD KING'S HIGHWA}' HISTORIC DISTRICT COMMITTEE
YAFMOUTH
o KING'HIGHW Y
AMENDMENT FORM
("MrNOR CHANGE REQUEST")
A minor change request must be submitted within one year of the original approval date or while the work is still in
progress. Only a minor change may be approved by the Committee without the filing of a new application.
PLEASE TYPE OR PRINT LEGIBLY
Original Application #
Address of proposed work CKAN A /-Arv€ 5t)J-rN AND oaaoq
Owner(s),74,\cV* AAIH|){L Du fFY enone*:So7- 7 33- 6qoq
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Mailing address O Cr{,Au ry 5. VqrLrnt rfiA oa &c/
Email U ,DU @ J, dPreferred notification method: Phone y'Email _US Mail
Ag enucontracror: UAUS u.fl , l-/E-fi911 EL/NG phone#:aJLl- rl 3i- ON7
Email f k)y , UJAU-7 Q-ClynCA5f , NeT Preferred notification method Phone Email
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Signed (Owner or Agent)
_ Approved by OKH Denied by OKH
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Reason for Denial -r
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Signed OKH Chairman
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Date 2 Ao
New C/A required? _Yes _No
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Date z '27 2. ac
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1112015
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AMENDMENT #lq- eo5b.4L
Original Approval Date:
Please describe proposed change(s) and attach plans/photos (as necessary):
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