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HomeMy WebLinkAbout19-E107 3 o °f TOWN OF YARMOUTH _ 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone(508) 398-2231 Ext. 1292-Fax (508) 398-0836 ^ f;, 21;19 i OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ,r.rcivlUu i 11 NOV 2 o z.0 1 i OLD KING'S HIGHWAY TOWN CLERK APPLICATION FOR + SOUTH YARMOUTH, MF 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: 7/�/7 /t A7 CA Y+�"�,mociii("Po /51)0Map/Lot# e 2 S - /-2.3 Owner(s): ---5-7".e37:.C/.11,C :4;'4f.-) kii-A ti "1'6'LZ t,..--7 Phone#: S.°B 1 6'2" ‘6;0.5- All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 9 ././/44 ,f27 6/7f �''./. 3j;i?ie/oelff ri m4, - 0?,I7: Year built: / g76 J Email: Preferred notification method: Phone Email Agent/Contractor: 0',At A-1-"4",701,, ,, f4,/'V g L 4. y Phone#:rJ5-'4e".3L c-�i6Lfj Mailing Address: 9 " A 7' A3 7,��/97 ni ✓'7".;:/reiz-7- il/f Email: Preferred notification method: Phone Email Description of Proposed Work(Additional pages may be attached if necessary): , /L'-GI.:CI' 3z-D Ils x C04 4,'it,eiit e Pr dcbe tom„ Signed (Owner or agent): et:9:64,47r 1,; Date: 7h1J 2-O, _6,f 7 > Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.) > This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later. For Committee use only: Date: i 1-ab- 1 9 /Approved Approved with changes Denied — , Amount 020 Reason for denial: 1 ''O Cash/CK#: On S/ "`� Rcvd by: 6A,7 i I: /) k.5.- ' v1 Signed: - - - APPLICATION#: 19- E--./07 111-Al 7 IS L•"-C .D., PIC ciaf II, n Ir c • Ns� O. p 0, •_ � �"• 4'�t 1'1 CM Of \ • . i �f ® -7? V • .4 '-THOMAS t. • _ • • . f ` UT�� Y• 61110'IC 1hosTES/ . • fi I/� p Meq �� �.. '1 �0 V Eli7 ' — . , •. •. THOMAS E. KELLEY CO. • OCD Y/1RMOu LAND SURVEYORS 7•. / =�N.ST !S/fr1 ] ..A a SOUTH YAR111OUT1I, MASS. ct- • . -. ..:.. •. /6, - .... - . , r., , . . ., . , .. • 2 j • HEALTH DEPT. • C • .� 1 CERTIFIED PLOT PLAN ora a,�-y , , ; • _ " ` LOCATION (ARI'.;IOU:Y:H PORR.. .1,' 1.L'.SS• -" -- .- _ �'. - • SCALE I"c 40% DATE MAI. IQ,.t.914 .3 . (o ' t ' l l- - PLAN REFERENCE .4E.)N.G .L 7 .2.-`.o.N. - a�ni�,o,Ticw• ►t• _2• Air . • - .a.Ati Or -t:.AN�.t'1YA?1'jQQ QRT- ejF , tigo'v t• KT to A. V-.44rrY. I.A`CI D. M.P43CI.-i.la,.1Q-5.....i U • _ • F I-L.k-D,0.0 N. .?P3.PSG 4. 1 • . F: I CERTIFY THAT THE PYNRAT•Ip•te SHOWN • • . • ON THIS PLAN IS LOCATED ON THE.GROUND R • AS SHOWN"HEREON AND THAT IT CONFORM$ TO cA . rJ' TI LING Id(EI_.LEY, - _ ` THE ZONING . LAWS OF.THE TOWN OF ' ' x••4.1.' N# I N .5 T R E G.T "••. -`�,p►1ZMto 'T N. H E I uCTED1 Ya NI UT 9T• • ; R O H PORE In , DATE. AX !a -PETITIONER : - • REG: LAND SURV YOR �_.�_ :jg- ice? It••'" 44/ //44/A1 --<'767— ' A/ • , •'""-- I , 1 ' ' •IP :i1:„:".! .?' V:lh,1,1,,, • ...,,,: i. : . ....1.' 10., ..••.- P (tr.. , . . t, .-4:-.-4`•- - '' f . . . - A v-1 -. lc .. . .•:- , .-_,-..., 1'. - "..• -- r . ..... .„_- --, .. . - -.---...-•;-.E,--L--.•;--- --: ---2'.=7.4.-f-74-•-.74L-4.;_--.-R..---.,-..--1.-, '.- f „. . . .----$L7• -7-------:---c.--7F----i=4---- ---,r f• --.,, '.... .;1..,:7-.-'4. 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"--, -,•'''.',41r; r' ,. . -C....7'k „„zi. -.s.,;...., .-1,4-, • ----,i-5.3.•?4••:',,4.,.-,E-....:t-.... ..:--g--;, - -, - "•••'Zt•-.. -• • - ,;- •I',"-_,!,•,>•' --.Y:-.4.;-4: ••_4. -- .. -,•-,!•,..--1.* e-,,-*:,--,,..St •., ; • '-`"'"1".....: '- '• ‘P-‘--•,--- 44 - • --it---- i,,,,,----„.,---%., .-1 -_,-, .„..v,,-: -., . _ . .. .,. , ...., , — taikats,,L., _..... . it NOV 2 6 ?019 TOWN CLERK SOUTH YARMOUTH, MA I 9-s 'i a 9 4,,zit 1. F , IMMINNIN - iii.3Yiik � ... J t • ...�.-. ..,. err .. „-..,mss. . r - w+.F'” E• 'it .4'r',1'2''-' . - ' ,• -r iD � ► ►,. aKIN UTH . .� �,rr� . _ , ' r r--- , , , , .. �- Y r ,, .. . .•• . • . . . •. . , , .,.. • t"„ to '.L!� i 1 �1 Art's RECEDED NOV 26 '/U19 TOWN CLERK t 9-el D r> SOUTH YARMOUTH, MA 410°- ' Fpm ,. f M s �� ,. * t .> �£ ? # i : . APpRDv _. ED _, Y,yHMOUTH OLD KING DH-- W--Ali • RECEIVED NOV 2 G /u19 TOWN CLERK SOUTH YARMOUTH, MA 1e9—,e-10 2