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HomeMy WebLinkAboutUntitled CONSERVATION OFFICE kgrant@yarmouth.ma.us Yarmouth Conservation Commission Administrative Review Yarmouth COmmiCOssso envation Applicant Information: Name: JUL182o,�? jrff Mailing Address: L lc• LOQ - Por*C}( �r. �� � ► „r n Phone: ` ©(. `t.(�i Email: 6- , —' lLer. to tie faWCc ,4 Signature: 5‘Li!'- 1 Location of Work: 2 LG✓�C� 1°0�'�� `JJ Street Name and 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: plAe C) (C-Cet'-kef' Ca\- \v im cel r c ocA (44=t3= . Closest Distance to Resource Area: E--o` Proposed Start Date: i S S C (\ Q S rDSS C ,(e Company to do Work: v G� .E 6( 1• 'x \\,04 Name: Address: Phone: Email: Administrative Approval: lAAJC7 ?t -{ r2 e3 IMc'Wict G✓`e waveelA✓ [P- mWcr 7-21 -/Z & 2l -2Zn Milt5 10P-7r, This approval 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• (508) 398-2231 • Ext 1288