HomeMy WebLinkAbout21-E064 TOWN OF YARMOUTH
✓.. ) 1146 ROUTE 28, SOUTH YARMOUTH, MA 026644451
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION FOR \ RECEIVED
CERTIFICATE OF EXEMPTION ; JUL 2 9 2021
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of QJL4711) of Y
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or WAD! 1, r• ,
accompanying this application.
Type or print legibly: f k v �i �1
Address of proposed work: \\7 1�) t t\to Ivo IA b A7 t 1fi E•r110t)Tt'i [Oki-Map/Lot# /3 6/f 9=�5
Owner(s): CNR1.3l JAJL L L . )))t1P ZiC-at.-..11V0C:' Phone#: .`-7ki-5 3 - '-15- )..3
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: \V7` UJ l RN ) c, ` y ISR-mo 0 -DA X=T Year built: k`-i�'"f
Email: e-YD r'O Xi `i Gv\p C c_c7w,cix/ .yid* Preferred notification method: Phone ✓ Email
Agent/Contractor: Re t.-\ iNE,L. t FE11 Phone#:(5'O )775-76'O0
Mailing Address: ci'{kp t\IGi6dN-S C RCU.)E1 -. I-➢1 1)0EzJ1 /n I?. ova-n.1
Email: Gc r e(.y- (6',. t`e ` O,V4 Eck=rc-e -LCC'YY1 Preferred notification method: Phone )< Email
Description of Proposed Work(Additional pages may be attached if necessary):
.3 FOUT VER•.-ftcAI., We ') UJNtT•€ 1=EN0..S" —NPR ChCp 70 FE6T L..c)NM
' \V1cNW 6 RcK€T FErvcf 111,0106a REtI` PROPE/?T`t 1,10g
vikom PINE IRE-E. 10 i'-,1i f RoPciI T 1 1,1 Nr. --Ti; Ler-r.
OF G N 2-A 6g*
Signed(Owner or agent):...56,4 .,r.L' \^ .\1-\1r,1J��,t
O 4)..iiA.,i) Date: Y. 9/,7 i
I
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 Denied
Amount Reason for PROVE® 6,. • ■ al al
Cash/CK#: RIItt .r] 20-21
AUG ' 2021 1
Rcvd by: YARMOUTH I
OLD KING'S HIGHWAY 1 YARMOU'I-I-!
OLD KINGS FIIUHWA
ir
rl:
Date Signed: er/-4 72 d z f Signed: ' APPLICATION d /---E-s°6 S
V5.2on
.° � , TOWN OF YARMOUTH
p 3 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451
a 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 print): 0_ 4��.5 1 t/Lir. )1)H Ia X 141_1 14&c)
Applicant/Agent signature: C_Ut_auks.._ rfl(1 7O41..0 Date: 7,29//
\� rl
Application#: 4i 1 v
3/2020
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: .H gio` ,&g- rnh1 A z/6/./A IL)V
Property Address/Location: t t 7 WI A n1N0 ROify
Hearing Date:
Notices must be sent to the Applicant and abutters (including owners of land on any
public or private street or way) who's property directly abuts or is across the street from
the Applicant. Please provide the Assessor's Tax Map and Lot numbers only. The
OKH Office will send out notices using the addresses as they appear on the most recent
applicable tax list.
Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's
Highway Department page on the Town website: www.varmouth.ma.us
Map Number Lot Number
Applicant Information: � 3 f 7 a 1110 137l 6)isi�nlo
Abutter Information: 1 3 OJ j l l y
aDle i .-111W.-a
Application #:
3
8.2018
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