HomeMy WebLinkAbout22-E004 24 Wharf LaneTOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 026644451
Telephone (508) 398-2231 Ext. 1292 --Fax (508) 398-0836
G'S HIGHWAY HISTORIC DISTRICT COMMITTEE
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: b
Address of proposed work: A.,., Y f ��� ��
Owner s): V1 IX C-�- l ---C L,-} 'j ti
All applications must be submitted b L own11er or z
Mailing address: - t+ wk ---r z 'k.ry
Email: 6 t)l',y)C'I owlte
Agent/Contractor:
Mailing Address: C
bC 11 vl CL, 1,
Map/Lot # �- f L4 T
Phone #: t�) ,3 ' 5��- ( E7
by letter from owner approving submittal of application.
Year built: 19
r
Preferred notification method: Phone Email
C.� t.S kFn 61,911 r. 1 1444-6I + Phone #: LH S
Email: A 6 JI ll Gk 16 w , WL, ( J Cc' -LAC Ct J - )%L- F Preferred notification method: Ii Phone
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Signed (Owner or agent): Date:
Owner/contractorlagent 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:
Amount , Lo
Cash/CK M s�
Rcvd by: L,
Date Signed:
Approved Approved with changes
Reason for denial:
Signed:
Denied
APPLICATION #: P? 'e-� 4
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: Donna Lowney j—A�EC—E1VFr-,`-j
i
Property AddresslLocation:
24 Wharf Lane o2,
,._�4tING'S HI Fly�.
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
Applicant Information:
Abutter Information:
Map Number Lot Number
121 47
121
46
121
53
121
49
121
48
121
35
Application #:��
8.2018 3
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