HomeMy WebLinkAbout128 Driftwood Lane Exemption (Approved)TOWN OF YARMOUTH
1 146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
G'S HIGHWAY HISTORIC DISTRICT COMMITTE
APPLICATION FOR
GERTIFICATE OF EXEMPTION
Application is hereby made for the issuance of a Certificate of Exernption 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.
Tvpe or print leqibly:
Address of proposed work
Owne(s):
All applicatio
Mailing address
Description of Proposed Work (Additional paqes mav be attached if necessary):
,^ru, Sco ff 17 IOY bJ yr \* ' C'n rererred notirication merhod:-phone f emait
Aoenvcontractor, S..tf Ca{b-t phone#: CoY 3<{/ kOC
MairinsAddresr, ?3 0n..f7.oJor- lo'-n Ar.*uru rI+ OlCs/
e^*, 5g{|(a4u,^ @ C.* 4$ r' .8t f Preferred notification method:
^
Phone h Email
71./L,( €Y6,7t+J Oe.6 1
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Signed (Owner or agent):
m
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Pnone *: SO
by owner or accompanied by retter rrom owner "Tj::[ilrW ?a:]irarion.
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; Owner/contractoriagent is aware that a pe!'mit may be required {rom the Building Deparlrnent. (Check other departments, also.)> This certtficate is good for one year from approval date or upon date of exprration of Buildrng Permit. whichever date shall be tater
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Reason for denial:
Approved by OKH Chairman
via email on 8124120 (20-EOT2I
Date Signed:
v5.2017
Signed:
APPLT.ATToN #: lo-Pl\
TOWN OF YARMOUTH
I 1 46 ROTJTE 28, SOUI'H Y'A Rl\lO UTll, l\l.^,ss^C lI USETTS 02664 -4151'felephone (50tt) 39lt-2231 ljxl. 1292 [-ax (50t1) 39tl-0836
() LD KI N(;'S ll IG H W;\\' H I S'l'()lt I C D ls"rlLl CT' CON{ M l'l"I'EE
WAIVER OF 45.DAY DETERMINATION
'Ihe applicantiapplicant's agcnt undcrstands and agl'ees tltat duc 1o thc cuffent dcclared National
and State public health cmcrgcncics thc dctcrmination of' oril Aptrrlication firr a Clcrtiflcatc of
AppropriatcnesslDcntolitioniExcmption rna,v not he: rnaclc u'itltin -15 ctavs ol thc trling of strch
application.
The applicant agrees to extend the tirne trarne r,vithiri whi';h a detcnnination is to be tuaclc as
required b-v ihe Old Kirig's [{ighrvay Rcgional Historic l)istrict i\ct.
SECTION 9 -Meetings, I.Iearings, 'l'ime .fbr Making Detenninotittrrs
".1.t soon as tttnveniant ulier sut'h ptrblic' lrcurirtg; btrt in un); ('\'atil t'r'ithin.frtrt.r'-fit't: (151 dLt),.;
dier tlrc /ilingo./'upplic'tttion, orv'ithin,su<:h fhrtht'r^ ttmc it.\ tht'trpplicunt.slrull ullctw in v'riting,
the Contmiltee shull makc a cle tcrmincrtirtn ttn lhe ttpplic'ution."
Applicarrt undcrstaucls thtit thc t'cvicu' tlf' t soou as thc
situation allows.
ApplicantrAgcnt Namc (plcasc
Appl icanti Agcrrt signa ,a,c 1/714
3t2020
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