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3 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
RECEIV
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4 ' Telephone (508)398-2231 Ext. 1292-Fax (508) 398-0836 2020
YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITT: -*La KIN HI
H AY
APPLICATION FOR
CERTIFICATE OF EXEMPTION
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
Type or print legibly:
Address of proposed work: 55 Gunwale Way, yarmouth port Ma /Lot#
P p Map
/Lot
Owner(s): Rick Rezersky
Phone#.774-994-7171
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Year built:
Email: Preferred notification method: Phone Email
Agent/Contractor: Andrei Yarmalovich 5082801794
g Phone#..
Mailing Address: 204 Cinderella terrace, Marstons Mills, Ma
Email: yarmolovichandryahoo.com Preferred e erred notif canon method: Phone Email
Description of Proposed Work(Additional pages may be attached if necessary):
Front sidewall ( wood shakes) replace with Clapboard or Hardyplank ( James Hardy) and replace wood
trim around the windows and garage doors with Azek ( PVC) trim
( ,L3,,,(/1./.4...- )
FE�c" (7CO (..6 It- / S. V .
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agent):Signed (Owner or a : 2 Date: 09/0112020
9 9 �
r Owner/contractor/agent is aw,re th-t a permit may b+r: t ired from the Building Department.(Check other departments,also.)
r This certificate is good for on-ye- from approval date or upon date of expiration of Building Permit,whichever date shall be later.
For Committee use only:
I
Date: 9 : ,ti• Approved Approved with changes Denied
Amount ;'?..-0Reason for denial:
Cash :27F'9
Rcvd by: OW-
Date Signed: Signed:
APPLICATION#: 2.1).-- 023
V5.2017
ov:Y.Ait TOWN OF YARMOUTH
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1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-445
ESEP OE
tot Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836
I F1CO20
8I2VED
LD
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
SEP
HIGH WAIVER OF 45-DAY DETERMINATION H WA Y
The applicant/applicant's agent understands and agrees that due to the current declared National
and State public health emergencies the determination of our Application for a Certificate of
Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such
application.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9-Meetings, Hearings, Time for Making Determinations
"As soon as convenient after such public hearing; but in any event within forty-five (45) days
after the filing of application, or within such further time as the applicant shall allow in writing,
the committee shall make a determination on the application. "
Applicant understands that the review of this application will be scheduled as soon as the
situation allows.
Applicant/Agent Name (please print): rei malovich
fDate:09/01/2020
Applicant/Agent signature:
3/2020 Application#: 70—EDg\
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