HomeMy WebLinkAbout21-E044 4."f.
Of OF YARMOUTH YARMOUTH TOWN CLER`
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N 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836 if ,aa °
RECEIVE64 KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
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JUN — 4 2021 APPLICATION FOR
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CERTIFICATE OF EXEMPTION
OLD KING'S HIGHWAY
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 pro sed work: '',4.., \, 1. ^a��'C `Nv1/4.)se Map/Lot# 1,\ , \ COCA
Owner(s): 'L''L C C ut_ `�'E'-- Phone#: .5 C . ` (4�c.k- ct cc V 7
All applications must be submitted by owner or,accompanied by letter from owner approving submittal of application.
Mailing address: \R. `' c,r� �\-\\--�-'�\��� ) ` ' (41—
` 0\-7`1(4' Year built: \. CV Lo ----
Email:
Email: . -c--,tsk� Isi «ip'S'-€ Li e re._‘').01\3,N L.\ Preferred notification method: Phone t Email
Agent/Contractor:
Phone#:
Mailing Address:
Email: Preferred notification method: I n 1 Phone El Email
Description of Proposed Work(Additional pages may be attached if necessary):
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A(Owner
6 s \\kc.), (-___\‘,.._ c--N`-\<\,..-42.,t-- _,-.3 0 _,,-.) ----- (,, :k.,\IcAo css_\\--- (a..c..\\_Q lit\\)
oragent). -- `�C (c Date: ( - O_ I
Signed
D 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:
Approved Approved with changesDenied
Date: APPROVED
Amount Reason for denial:
Cash/CK#: JUN - 7 ZOZ1
Rcvd by: YARMOUTH
OLD KING'S HIGHWAY
o, l I I N#: X 1-1C��', 1
Date Signed: 7/202 I Signed: APPLICAT O
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Property Map
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1 inch = 69 feet ,,4r
Data and scale shown on this map are provided for planning and informational purposes only. YARMOUTH (MA) and Vision
Government Solutions are not responsible for any use for other purposes or misuse or misrepresentation of this information. 5/29/2021
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° Yeo TOWN OF YARMOUTH
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0 H 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 (please .rint): KL; C
Applicant/Agent signatur- �� Ll (c"-Lca- Date:C=.Q
Application #:
3/2020
Rogers, Grayce
From: 'RICHARD GEGENWARTH' <r.gegenwarth@comcast.net>
Sent: Monday, June 7, 2021 12:40 PM
To: Rogers, Grayce
Subject: Re: Certificate of Exemption - 12 Shaker House 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 window replacement as per the attached Gen-Weld photo.
Richard
On 06/07/2021 12:27 PM Rogers, Grayce <grogers@yarmouth.ma.us> wrote:
Hello,
I have attached a Certificate of Exemption for 12 Shaker House Road.
Thank you,
Grayce Rogers
Office Administrator
Old King's Highway Committee/ Historical Commission
508-398-2231 Ext. 1292
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