HomeMy WebLinkAboutUntitled YAi.,‘'fliOltTH TOWN CLERK
°`:Y.44 TOWN OF YARMOUTH
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OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION FOR
CERTIFICATE OF APPROPRIATENESS
Application is hereby made for issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts of 1973 as
amended,for proposed work as described below&on plans,drawings, photographs,&other supplemental info accompanying this
application. PLEASE SUBMIT 4 copies OF SPEC SHEET(S),ELEVATIONS PHOTOS,&SUPPLEM AL INFORMATION.
Check All Categories That Appl : Indicate type of Building: Commercial Residential
1) Exterior Buildin Construction: fNew Building 0 AdditionIterations Reroof Garage
Shed Solar Panels 1 Other. _-
2)Exterior Painting: Siding Shutters 1 1 Doors Otrim IIOther. RECEIVE
ID
3)Signs/Billboards: ,r-i Ne n Change to ting Sign ('� JUL021
4) Miscellaneous Structures: Fence I Wall ,Flagpole 1 (Pool nOther.
Please type or print legibly: YAn
OLD KING'S HIGHWAY
Address of proposed work: 37 Af'IddIP:ici prLt ei cmi r MA 0.2675.- Map/Lot� #p
Owner(s): ;t+0 priit b Phone#: t 78 O 7o 7474
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: 37 Arra./l fact Drive- la✓!rkd Mk 02-47c— Year built:
Email: q o+f Oil eTeo 0 he 1(G,ed ci Preferred notification method: [] Phone [Email
Agent/co`nntracto/r: Phone#:
Mailing Address:
Email: Preferred notification method: El Phone 11 Email
Description of Proposed Work:
APPROVED
-tns-fit it nde ;n (?ask rd, Pie ise s-ee - 9 20
«( AUG' 21
YARMOUTH
OLD KNG'S HIGHWAY
Signed(Owner or agent): Date: �6 0 I /20Z1
D Owner/contractor/agent is aware that a permit is required from the Building Department.(Check other departments,also.)
> If application is approved,approval is subject to a 10-day appeal period required by the Act
> This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
D All new construction will be subject to inspection by OKH.DM-approved plans MUST be available on-site for framing&final inspections.
For Committee use oniv: V/ Approved Approved with Modittcations Denied
Rcvd Date: Reason for Denial;
Amount
Cash/CKt ��if\i r9
Signed: �;4 .. .. �/✓ r—,►_.
Rcvd by: �461P
46 Days:
04q-
Date
1 �
Date Signed: ( c)0 1
1 APPLICATION#: 1\—Al2 I
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