181-183 River St Intent to Demo° Y' A TOWN OF YARMOUTH
y 1146 R0tnV. 2.8. SOUTH H YARmoun L MASSACHUSE 1'I S 02664-4431
Telc owic ON) 3911:-2231 Fxt.1292 Fax (508) 398-W6
YARMOUTH HISTORICAL COMMISSION
NOTICE OF INTENT TO DEMOLISH A HISTORIC BUILDING
To be submitted to the YHC along with Mmolition Permit AppikaationrL—J{
Date of Application_ % -Zt:1,2 Z Demoldion: (circle one): P P
Building Address: _ Z R I --ni/4 !la e- slew f --- -
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Assessor's Map #-3-!i— Parw * f , - Year built_
son Building is Considered Historic (check all that apply):
Over 75 Years Old v 207, a / //,:c's C
Located in the South Yarmou0VBass River National Register Historic District
Listed on National Register of Historic Places
Resoume for histonc listings- Massachusetts Cuturai Resourer. inrorirL-il cat System '�nvw rnhrar3t_ Lic!
Propeft Owner j rr-
Address: AV
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Cityfrown: ,ac t State: /t'l,4 Zip Code:
Phoner Ce1W
Email: jQj1pwre
Signature: Date: .7 7 5-fj2 -2
Address: Kr /� c o
C4,rrown: ✓ State: Zip Code: Q
Phone#: Cell# )
Email: ��� 'c. r v
Signature: Date:
Reason demolition f17.^ /1, Ce A �Piui�- 7 1 1.,, ►l /.
Proposed reuse of property: .
of stTuchn to be demolished:
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• Color photographs of all sides of the structure being proposed for demolition
• Map showing location of property
• History of the building/property (if known)
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