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21-E026
°FY ✓ i0 ._,,,t TOWN OF YARMOUTH YARMOUTH OW gLE- g 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 - . -- RPC.- 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: 'I,, II J� ' (/ 4v-1- /�/�Address of proposed work: 1() ( 2 l��Q,e,ke 1'FQI �Q,iIM.(St4J't I AAA. Map/Lot# Owner(s): f UtaAr c1,ik1 1?2O4 A, Phone#: ( 13 - /13 1 --i-4 6 IS- All applications mdst be submitted by o)vner or accompanied by letter from owner approving submittal of application. Mailing address: CJI 0 1� A, Jat -r- g4f . \la(►'laa 1441 P44-i OZG75 Year built: IcI(,C Email: MQ kgcOunCb I ©O/YIQ,t ( . Gw O \,. Preferred notification method: Phone X`/ Email Agent/Contractor: 6//1/C tC,,ill Q n Phone#: fr/7 �3O -2//2 Mailing Address: g 3 \---(91A:( F--Uv 144-,1 pk � 0„234/ Email: Preferred notification method: ✓ Phone 1 Email Description of Proposed Work(Additional pages may be attached if necessary): LW-�� uoc, V;� vn\51� ();a1-0--- \ - cx� No "-' .RECEIVED 05e. -0-e-- Q lck S-t-N-1) \D2ktitATCOC Uv)e „\.0 �' APR - 9 2021 -eiRc_ One, s-, -8--€.4--\-0 kf\CWc)L C k4Q . YAKIVIVj l OLD KING'S HIGHWAY Signed (Owner or agent): 0.14-K Date: S J6 Z r 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: V Approved Approved with changes Denied Amount Reason for denial: i)/4/ k �z / Ma / APPROVED h. Chn li �,pt rithor-Yh ViO.J , / APR 1 4 Cash/CK#: �j / , / 'I-/-J 2021 Rcvd by: YARMOUTH OLD KING'S HIGHWAY Cp / Date Signed:y / / 6� Signed: APPLICATION#: ----V V5 2017 t S. . It' i�i s,- -� } { r � t wnn'FY-r �.. t ' y�' x 9 111111 11 - TI il _ , _ _ _ ,..„, „. . . _. .... ..... . , • ,, , ......_ . . . _ . ._ • .. r,.....•„. . ... . .,._ R - ' ,: 'kik,,..' a y ' '\tom' ;, ,„'� . ,x t ,`. i ,} 4 �, s• } , .., \ ,, 0.,_---. - ., Lc, . ''" : .10111114140.114 i �� x ;;pp, , f t Y _. 4 + ice. S. c ''- ilk t' S • +� , .t.c .. nnm 1 - (� • II t •y �,./ y4 '1 omY x -s k• - .t7$'7.- i ,.�7 t t. t y, , y s - . _ �'ri { {_ ` x '- , ;�. r A ---4' . 1.;,y . Sent from my iPhone • Mail body.Fwd:Pics Sent from my Phone Begin forwarded message: From:Margaret Franco<malcfranco 1 @gmaiLcom> Date:March 27,2021 at 105122 AM EDT To:Margaret Franco<rcakfranco l @g micom> Subject:Pics i `A!. t _.. f „,/,t aiT , . .4 4,,,,,,„,. i 6 II 1 "`V i i i '. .1 ,„7 14 , \ y IN,;^,r}.N .iC':t •” .11'i ' 3Y. ° Ya TOWN OF YARMOUTH 1146 ROUTE 28,SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 cc 4' 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. r Applicant/Agent Name (please print): 1\4 al ad i- K,�(/�yt Applicant/Agent signature'cA,G fJ(AL — Date: 3 -3 - 2/ Application#: 3/2020