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HomeMy WebLinkAboutMinor Change 18-A037-A2 co'�Y�`�o TOWN OF YARMOUTH RECEIVED 01146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 NOV , ,x Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836 0 2UI9 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE r HrtwlOU I h OLD KING'S HIGHWAY AMENDMENT FORM ("MINOR 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 #: jg-AG>3Vjg-/9o37-Ai Original Approval Date: `k,3-1g/9-4)-18' Address of proposed work: O AC:/4J S _th . E __ �y1120/074 D 2r Owner(s): Z 2-0N I Phone#: Mailing address: \ c-ct-VS \-Cun { Sr),A-1(\\00 jL M O(Th 7 Email: Preferred notification method: Phone A_Email _US Mail Agent/Contractor: /7)/9�/21( 71-71"), Phone#: c.00 2 9,2- 3 7 -7 -- Email: 171/21-14,N5C"/ gZt b C/PECDDPreferred notification method: Phone Email Co/27 Please describe proposed change(s) and attach plans/photos(as necessary): Ook . `DDOk_s , 2F EVY)(1)62_19-12- u i o D am/9 o /Fw , Detpeg' , oo,e ietC-Fb / /--r2 OR/ keei ) 066 . Teofee Pelzm, t 1 frePci Signed (Owner or Agent) C ���� P . tl'1 Cy 2- Date / /- v)b -/ \ Approved by OKH Denied by OKH New C/A required? Yes No Reason for Denial: APPROVED NOV 26 2019 YARMOUTH ? 1 OLD KINGS HIGHWAY Signed OKHChairman `�2 LZ i V �A'FJ Date //-01 ".. AMENDMENT# Ao37 it9 11/2015