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21-E023 PENDING oF'Y'�4 �� _.7-�� toTOWN OF YARMOUTH O , OARMUT , MA 4 Telephone1146RUTE(508)28 3,9S80_ YE xt. 1292-OFH a, (508) 398-08302664- 451 6 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE APPLICATION FOR 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: 400 Center St Map/Lot# Owner(s): Town of Yarmouth Phone#:508-398-2231 All applications must be submitted by owner or accompanied by letter from owner approving submittal of application. Mailing address: 1146 Rt. 28 Year built: N/A Email: dcarlson@yarmouth.ma.us yarmouth.ma.uS Preferred notification method: Phone X Email Agent/Contractor: N/A Phone#: 508-295-5931(Dave) Mailing Address: Same as above Email: Same Preferred notification method: Ill Phone III Email Description of Proposed Work(Additional pages may be attached if necessary): RECEIVED- Memorial Temporary structure (guard shack) Day to Labor Day, plus or minus a week APR - 6 2021 YAH-tiMOUTt-, OLD KING'S HIGHWAY a , 1 Signed (Owner or agent): /� 6414._ ./ - Date: 4/6/21 > 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:tiqlopta 1 Approved Approved with changes Denied Amount Reason for denial: Cash/CK#: Revd by: Date Signed: Signed: a i * O 23 APPLICATION#: V5.2017 14 ,c TOWN OF YARMOUTH 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 Telephone(508)398-2231 Ext. 1292 Fax(508)398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE WAIVER OF 45-DAY DETERMINATION The applicant/applicant's agent understands and agrees that due to the current declared National and State public health emergencies the determination of our Application for a Certificate of Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such application. The applicant agrees to extend the time frame within which a determination is to be made as required by the Old King's Highway Regional Historic District Act. SECTION 9-Meetings,Hearings, Time for Making Determinations "As soon as convenient after such public hearing; but in any event within forty-five (45) days after the filing of application, or within such further time as the applicant shall allow in writing, the Committee shall make a determination on the application. " Applicant understands that the review of this application will be scheduled as soon as the situation allows. Applicant/Agent Name (ple int): Dave Carlso Applicant/Agent signature: kz,""1_,LC.f��/-° Date:4/6/21 Application#: 3/2020 Google Maps Page 1 of 1 G',- glia Maps .. r r ,; ,. �"r .4' °.. ty4-. ,..4. ,-` ,s:-Ke � �'+ . 1�� I ► � 4i,+ { .Ei _ r ` +, ';RIO.; .",. ,, 4.4 .? *, . r . i" ' .4-,.4.,:-.0.;.„...,,,,-...._,_,.. .-.7-41.....-v.: w' s 4. l" -,,,x ..- 4. „ ro• ' -, i ar TrI N\.,, •„ j{ w (n s t *"'kX*u ` � y , ilt, � A. ` - P `^' i .t "y : " :R 4 :•': "!.r. r � .„ 4.. ' -� , , t t. . rtii; G � ` •fr� %�y iy wr� y Gola" ` � '..k , . • -'' t - e $ • . -"" ,' -4,j i f . < Imagery©2021 MassGIS,Commonwealth of Massachusetts EOEA,Maxar Technologies,Map data©2021 50 ft r> ` \ . • \\ /;_, \ , / / / (0/,,„,_ 7 _,:,„,,,,,,, \ / / _ ,/ , \ , ,,, . ir'''„ ' ' „,„,..„ , . , ___________ , _., , ..„, ___J s , ,' /. I ,.‘ 43\ \ 0400111140PPe ,. #o OP ,_,,_. ,.. ,_ _ IIP 0 --.- # # „. _:,:„ , ,. , , ,.,.._,_, .,,,,. ,,... _ / R0 PO F F IIT ...... I ,-44....., AI . . . AS... AMMO, rt ..., . , . .. , . . ...,... , , - -, 1-1-i I I ii T ... , t.,.„ fit lihr i . _,. i f • . a . i 1 , '. 1 .., . . . . , ,, . .. . , . .,, ,,.. .. ,,,, , ,. .„.„.. ... . . J . . .„ .. .„, 1 - - Ri--- --- . - I -' , : . 1.. r , ii I 1 , il 0 ... ... ,-, 4110116 - I 1 _ 'rj- - Ira/ '1/4 e e ii AIL it 11111.111. �. s illJ MEM 111 amu..,. PUMA t - 111:6, ' -. ...mum II" , ,-,;,-.: Iliw x . ' ''''''' ,,„::,:' '''' . is - „. x _ -is i T : .. ,_ ,. .. , .. .. , a• u I .. ,;, . 1.1f.1.4' i ,o00 , x El i i _ L.