HomeMy WebLinkAbout21 Day WaiverYarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288 • Fax (508)-398-0836 • TTD# (508) 398-2231
Town of Yarmouth Conservation Commission
WAIVER
“Please complete this form, sign at the bottom and return by mail or fax to the address indicated above.”
Date:
I, hereby waive the twenty-one day time period for a public
Name of Applicant or Representative
hearing / meeting following receipt of my filing of;
□Notice of Intent
□Request for Determination of Applicability
□Other _________________________________
by the Yarmouth Conservation Commission under Massachusetts General Laws, Ch. 131, sec. 40, and/or
under YarmouthWetland Bylaw.
The request was submitted on:for work at:
Date Received in Conservation Dept. Location / Address of where work will be done
Please be advised that you will be notified of the meeting date, once this application has been assigned to
a Conservation Meeting Agenda.
I am the: Applicant
Applicant’s Representative
Property Owner
_________________________________
(Signature)
_________________________________
(Date)
DEPARTMENT
OF
CONSERVATION
Hannah Raddatz, BSC Group, Inc
x
6/27/22 17 Crest Circle, West Yarmouth
X
6/27/22