HomeMy WebLinkAbout21-E019 ,20, ;At- , us• itet,/
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'F?.'SRmo I p H TOWN 5 FR,:
°4Vp�`4 4.4 .'c,,_ TOWN OF YARMOUTH
,. 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 ' t.A`R F*2:(_51 REC
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Telephone(508)398-2231 Ext. 1292-Fax(508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION FOR
CERTIFICATE OF EXEMPTION
Application is hereby made for the issuance of a Certificate of Exemption def-Sections 6 and 7 of Chapter 470 of
Acts of 1973, as amended, for the proposed work as described below.! W9tns, drawings, or photographs
accompanying this application.
APR 0 6 2021
Type or print legibly: II__
Address of proposed work: 2 .' N I clog 6s Di- eIN r IYARMOUTH l ICIIWAMaD/Lot# 121.1-12c1, 44- A
Owner(s). The i c!ore. RI'✓ n e/\ Phone#.31g S t 9-947
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 2.3 Y r ic,L4letc Dr. Year built: etc/Y
Email: ti-tep dote Iii i rinQiAQ yal oo, c 0,41.i M rJFQn thod: Phone Email
•
A en Contracto : Toei POVYV4 lc O APR - 5 2021 Phone#: ,-,.7 ^ A,3 2 - ,FS 73
Mailing Address: YAHNIOU I t i
OLD KI^'�S HIGHVY
Email: referred notification
Ametl
hod: Phone Email
Description of Proposed Work(Additional pages may be attached if necessary):
CUtrrev-Li lWe- kwe a scX eeined /I f al1.O, 1_04Cc r was rco4, we.
Are, rernc o rt j the caw u as rroP 4.'id sc.re-ens. PZ.e ice c cAl �L`
PIN
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c gay as P if s;i i (K -}a ,'&cck& fih.De UN blo ws G. S lie Cs -tit e s c,.W,e.,
L c aa..1- I': lb Pe.21-. i ppra V. 250 31. •
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Signed(Owner or agent): A.04-1-c .1 _ LGw Date: C,Cf.,( 1, 26 2-1
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: Approved Approved with changes/ Q , Denied ��/��
Amount 1- r, ( Reason for denial: % .4, �� at,1JLej4.Zd— V (A fiXti�U
Cash/CK#. C r `u' /.e ut u
Rcvd by:
Date Signed. Signed. APPLICATION#: 019
Rogers, Grayce
From: 'Richard Gegenwarth' <r.gegenwarth@comcast.net>
Sent: Tuesday, April 6, 2021 4:35 PM
To: Rogers, Grayce
Subject: Re: Certificate of Exemption - 23 Nicholas Drive
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.
This will be pretty much out of view. I approve.
Richard
On 04/06/2021 12:31 PM Rogers, Grayce <grogers@yarmouth.ma.us> wrote:
Hello Richard,
I have attached a Certificate of Exemption for 23 Nicholas Drive for your review.
Thank you,
Grayce Rogers
Office Administrator
Old King's Highway Committee/Historical Commission
508-398-2231 Ext. 1292
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