HomeMy WebLinkAbout20-E058L
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664.4451
Telephone (508) 39A-2231 E)rt. 1292-Fax (508) 398-0836
D KING'S HIGHWAY HISTORIC DISTRICT COMM
RECEIVED
JUL 2 2 ?020
YAT{MOU'TH
KING'HIGHWARECEIVB?
,rul 2 / 2020 APPLICATION FOR
CERTIFICATE OF EXEMPTTON
Application is hereby made for the issuance of a Certificate of Exemptaon under Sections 6 and 7 of Chapter 470 of
Acts of 1973, as amended, for the proposed work as describ€d bolow and on plans, dr.wings, or photographs
eccompanying this application.
Tvo€ or print lcoiblv:
Address of proposed work (<)<c< rnrti b,n4us Map/Lot #
Phone #.J.,s sor dd\ \ <doLl
All appllcafioG be submltH by owner or.ccompenlcd by l.lilr trorn own r epprovlng submitlal ot appliceton.
Email: 1 \ rC<Prefened notif cation method :X eno* '<- Emait
AoenUContractor:?"ll,.k/i^Jc,.,,s I G.n, \-fison pnone #: Jc y 1\rJ eoa\
Mailing Address:5 ar Qcl. F^\o JC
Pmfen€d notification methoa: X Phone -X-Email
Email:H.-rr i n e. 9() 0.\\a. z'o l'^(;
Descrlouon of Proposed Work (Additional oades mav be attached if nccessarvl:
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Signed (Owner or agenl):
For Committee use onlv:
rrite -?.1)&0
Amount aO
caswcr*:134
Rotd by: bl/
Approved with changes
Date
Denied
ZLE058 18 Old Cedat Ln
Date sisned: _ ii%?rcl1iH,Jl,:['ffi"L*
4r'yp ce.o rd 6f in s*a-l I €ar t q ott C 4a' La'rz-
v52017
> Orner/contactor/agent b aware that a pemit may be requi.ed from the BuiHing DeparbrEnt. (Check other deparbnents, also.)> This ceficate b good for one year from approval date or upon date of epiration of BuiHing Pemit, whichever date shall be later
J U L 2 J 2020
YABMOUTH
ApplrcAloN* ao'b{$
Owne[(s).
Mailing address: t9 o\c-\ Ccdir^c \<-n€ year buitt:
v Approved
Reason for denial: