HomeMy WebLinkAboutUntitled lit TOWN OF YARMOUTH i
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i, s 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
-` Telephone (508)398-2231 Ext. 1292—Fax(508)398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE "';h;F4% 'r"
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APPLICATION FOR
TOWN CLERK CERTIFICATE OF APPROPRIATENESS
SOUTH YARMOUTH MA
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as
amended, for proposed work as described below&on plans, drawings, photographs, & other supplemental info accompanying this
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S), ELEVATIONS, PHOTOS, &SUPPLEMENTAL INFORMATION.
Check All Categories That Apply: Indicate type of Building: Commercial )6- Residential
1) Exterior Building Construction: New Building Addition _Alterations Reroof Garage
Shed _Solar Panels Other: Pc,2,0/1
2) Exterior Painting: Siding Shutters V Doors X Trim Other:
3) Signs/Billboards: New Sign Change to Existing Sign
4) Miscellaneous Structures: Fence Wall Flagpole Pool Other:
Please type or print legibly:
Address of proposed work: 309 aT col- .,V C)V iti AA.A- 62c,--7S Map/Lot# I Z 3 ii k,
Owner(s): 3 eai k) Gt>\,7 1�%.-A pct Ftii+Cn Phone* �I] •'Z zt� - Z6.77
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 3 Cr 9 jZ,t G A- "{#Z t 40 +41 O Z C `1 S Year built: ICI 5 Z.
Email: R 2...p.1[JS F_ 1 to n Ni yi41 ov. C c A-1 Preferred notification method: Phone X Email
Agent/contractor: Sy( �k p r(-}A-i2 Phone#: GO - Vis) S — Co 5 7
Mailing Address: ?2_4 )'L)Cd 1(l.) 2•U /-/y A!j,t,1 3 MA CZC (
Email: Q.-Tf44 q 7/ ( Q_6:LAc.i ( e f j Preferred notification method: Phone g" Email
Description of Proposed Work:
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1—Rc►n r" Part c 1 // e✓-, ve V;n y 1 S,2 a': -y
Signed (Owner or agent): Date: /JO U 5 rh Z0, Y
> Owner/contractor/agent is aware at a permit is required from the Building Department. (Check other departments, also.)
> If application is approved, appy val is subject to a 10-day appeal period required by the Act.
> This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
> All new construction will be subject to inspection by OKH.OKH-approved plans MUST be available on-site for framing&final inspections.
For Committee use only: t/Approved Approved with Modifications Denied
Rcvd Date: /41 ( )9 Reason for Denial:_
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Amount 7 APPROVED
Cash CK : j a(j a 7
Signed: • ,. . / /
Rcvd by:
Ort45 Days: /a.Q3. I I /
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Date Signed: ///Z-5/2 Q j 7
1 - 9 - AO98
APPLICATION#: