HomeMy WebLinkAbout21-E015 RECEIVED
4;°` Yc TOWN OF YARMOUTH MAR `S 2021
v 4' 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 YARw1Uul
Telephone (508)398-2231 Ext. 1292—Fax(508)398-0836 ! pLD KIN'S HIGHWAY
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YARr Ll€_I4"INN CLERK`,.
APPLICATION FOR
CERTIFICATE OF EXEMPTION `2 A '25 : R-C
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: �C SC-9 L.G.. Q f < aci Map/Lot# ' a
Owner(s): .V\-k`nn 17 Cts c 1R 4.1c/ 1—)(Z
., -1 p Phone#: L 7L7 0? -0 7" '
All applications must be submitted by owner orraCcompanied by letter from owner approving submittal of application.
Mailing address: /&) ( ) C9..c / t 1—ct j MviDuTlIkrQlt_., Year built:
Email:' Preferred notification method: Phone Email
Agent/Contractor: ( UC.4' C-2-Aty1___J,4rCV Phone#: 71,
Mailing Address: 4a0 ( t' I r (2—b J 1N,vv) G �) . ,-4 pd;i 0 -L 7'
Email: Preferred notification method: one Email
Description )of Proposed Work(Additional pages may be attached if necessary):LO. 6.. £02 L'S -r / G w , .t) GJ ow L7 ' i 1- N-P CO
V 0 0191,P — ° u fon KA Ti 1-E,. LA.) 0 r 2- A-f r6 . /k.) 06 co.)
Cy6 a 11- pp-T 1'Pr� 1 t lL.Q +o Lt (ZP ) I 'e -r'z o r", g>4---5--e ( c e,1-*l � 1
C� TS ,
tt- rtdv( i Q
( .
Signed(Owner or agent): C36/2.___ Date:
/dam /aI
Owner/contractor/agent is aware that a pe it 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: Ia/1( Approved Approved with changes Denied
Amount �' 0 . 0 0 Re on for denial: ✓-�i�l7A/l1) (,�,f1(. , r6
'
6
Cash/CK#:1311-19 q/A) (_ 'XII( 6-C4- (' )0J/(( if-1
6EMAR 2 4 1021
YARMOUTH
OL_ p KING'S HIGHWAY
Date Signed: ) '(, L,I ( Signed:
APPLICATION# I �() I 5 1
V5.2017
Rogers, Grayce
From: 'Richard Gegenwarth' <r.gegenwarth@comcast.net>
Sent: Wednesday, March 24, 2021 5:04 PM
To: Rogers, Grayce
Subject: Re: Certificate of Exemption - 280 Weir Road
Attention! This email originates outside of the organization. Do not open attachments or click links unless you
are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure.
Otherwise delete this email.
I approve of this CE Grayce.
Richard
On 03/24/2021 4:20 PM Rogers, Grayce <grogers@yarmouth.ma.us> wrote:
Hello Richard,
I have attached the Certificate of Exemption for 280 Weir Road here for your review.
Thank you,
Grayce Rogers
Office Administrator
Old King's Highway Committee/Historical Commission
508-398-2231 Ext. 1292
1