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AR Approved
I rig z I t Q w'.. 1 CONSERVATION I}A ' OFFICE •1�MATTA 4 , - kgrant@yarmouth.ma.us Yarmouth Conservation Commiss'; Administrative Review r'61- fiouth co, ' Applicant Information: ''j'ssson vat/or, / J1j2 Name: A a r'!' 1:C 1:C r JC'YK &IC/ vv" ?O?? y iii Ec Mailing Address: AlkjLq_-ttftAC-k-. 3 ; &/e_eq.c I- . g), •/ Phone: hit 3--77S-- Ya.v Email: alaiZGNq„e'(-kaee 6. C Signature`- � '- . P &fit,"JZ__, Location of Work: q1( al p ?COIL t i S_ � y' 0 Street Name an,:/.041/1/110-2,-(1k., Number Please Note:By submitting this application the applicant grants permission to the Conservation Office to enter the location to conduct a site visit(if needed). Detailed Description and Reason for Proposed Work: (.r yy\ IDS (A), Gv.u.2. d e et ,c. 4 a ma Y e .--tv^e•e4 (k di 6(-14-- Co j s 14-4.4-1' /00 orris ("tle --ricesq . ec t 4-6 C. ekne 4 Q-cfn , r ey °z'LQ tb e -'zp o ' -lam ` (29- � or CC;tlC.S , arm c?v-2�. ce n 5 4. O UU o .�d.g. Q---6 -d Lk' �- -4 JC.,t�4 -112' L7 ce 7 (OCT �� a d ._&,,,,,,&1) , 5, t.c, 12c,v-e. o•-v-eten-er-vv „ e- �n. 6 -6( t'e41v)44 14, Closest Distance to Resource Area: , YY s ki 0-042",-- uae Proposed Start Date: 1J e2 0 a i Company to do Work: Name: ( AL (RC2 L.'ACT7.C..� c'it-a2' CSC- L 9 Address: Phone: ✓ L 01.01.12 P ,t1U - I -- -5 7 i S Email: Administrative Approval: 1--kr0s2S Ci ff lOUCt +0 ie r -rVkdv`Qd Skdv•ii in Citi-6 Cl(1-CCi pv1d+oS (( 11:111:-. 9&--7-. 3- .il -?;-1- This approval pp al is valid for one year. This Approval does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of property. Yarmouth Conservation Commission • 1146 Route 28,South Yarmouth, MA 02664. 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