HomeMy WebLinkAbout21-E099 923 Route 6ATOWN OF YARMO
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4� 5 E E I V E D
Telephone (508) 398-2231 Ext. 1292—Fax (508} 398- 836
OCT 2 9 2021
OLD KING'S HIGHWAY HISTORIC DISTRICT OMMITTEE
YAHMOul t -I
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:
Address of proposed work: 923 Route 6A Yarmouth Port Map/Lot #
Owners :
Chapter Two LLC ,lames N Basler Manager Phone #: 508 423-9311
All applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: Box 206 Yarmouth Port MA 02675 Year built: 1984
jbasler@comcast.net V/
Email: Preferred notification method:
Phone Email
A.gentlContractor: James Basler Phone #: 508 423-9311
Mailing Address:
Box 366 Yarmouth Port MA 02675
Email: jbasler@comcast.net Preferred notification method: Phone El Email
Description, of. Proposed Work (Additional pages may be attached if necessary]:
Replace existing sign "Lina's Nail Salon" with "BPPA". All signs in the Sunflower Market Place are similar and compatible in style and scale,
picture of new sign included.
Verified by pdfFiller
Signed (Owner or agent): 1 Date: 10126/2021
Owner/contractor/agent isawarethat 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: g
Amount aci,
CashlCK #
Rcvd by:
Date Signed:
V5201
Approved
Reason for denial:
Signed:
Approved with changes Denied
APPLICATION #: I ('o r
°Y TOWN OF YARMOUT ECEIVED
p � 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664 4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 OCT 2 9 2021
OLD KING'S HIGHWAY HISTORIC DISTRICT COMM TTERA8M0(jJh
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
of er 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.
Chapter Two LLC James Basler Manager
Applicant/Agent Name (plietwrifft)!er
10/26/2021
Applicant/Agent signature. Date:
'10/26/2021
3/2020
Application #: al C C+1
Behavioral Psychiatric &
Psychological Associates, p.c.
RECEIVED
OCT 292021
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