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HomeMy WebLinkAbout21-E065 7 �YR YARMOUTH TOWN CLERK 41 TOWN YARMOUTH :,:e4 rr1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 ' 1AJ,T 4cz: }RC Telephone (508) 398-2231 Ext. 1292—Fax(508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE APPLICATION FOR CERTIFICATE OF EXEMPTION w andn on plans,ts, drawings,6a7 photographs 470 hereby made for the issuance of a Certificate of Exemptionbe10under Sections 6 and 7 of Chapter 470 of Application is her y Acts of 1973, as amended, for the proposed work as described accompanying this application. Type or print legiby l : , , L , Map/Lot# 11, lit f Address of proposed work: s • Phone#: - C l., e • r t V\• approvingsubmittal of application. Owner s): by letter from owner b�^ All applications must be submitted by owner or accompaniedYear built: ` .f C ----- _ — Email Mailing address: 1 -- •thod: Phone _ ^ 1 I,_ qty 7� �1./•-"w Email: 1 P1 - � 021 Phone#: AaenUContractor: ' - _ Mailing Address: I OLD KINGS HI Phone _—Email 're erred notification method: Email: Descri•tion of Pro•osed Work Additional •a•e� be attached� if necessar`:G E � �) ^� ���` Nb1..E tieNioUA �t 0 , F\ WE,V . (� 0 Signed(Owner or agent): - Date: ���7--:----D-1-\—© 1_— — ther is aware that a permit may be required from the Building Department.f eg (Checkte shall is later. Owner/contractor/agentcateear from approval date or upon date of exp This certificate is good for one y For Committee use only: Date: Denied V7/:1:proved Approved with changes rs - �' .. Reason for denial: 11111r` Amount ��� 152021 Cash/CK#: y�L AUG ag--- YARMOUTH , � APPLICATION#:aNZI-V-,------49_ _ 23 Signed: ��_ Date Signed:0C _____E____-1-- - V5 2017 %1,.,_ 'N'S'NN,s N\N.\ \ \\ \\\ . .. ,.. '-' - .- •'.. ',•ty ..7\\\\\ i ' ''''.:2fig ' '.. ..! ''. '. \\ l♦ir.. J•4 \ 1 #Il) ' '! t' +', C t � hw i 5 L1 ' 1 t �` ' 4 ;1 �� /j{. t1..................--.-.... I 1 k '., .1,rt., M 6.,-,. '4 ,,,7 , ..,...,,, ,,:. • ,,,,...,,,,,:. , ., ,, :., ,,_,,,,,,,,,_-„.., , ,,, ,t„ it.,,,,..**, ____---- !k £mss �Y �' t '` � !fit f_` . . A, °°j x [ f•4�1 : • I; 44 - il • <laiiii4r:- 4� N 1 '..:--:,,:•,:,111,4:0•C,;•-11,, J� - j <1. ,;,z-,...,.,.,,,,,, �'..�as,3 X,Rsk P.,,t ,. .,14'''', 4--.,,,.:',f40`, "' ;S-. a. \- 5=0 (05