HomeMy WebLinkAboutAdmin Reivew 8.24.22 Approved E Yq CONSERVATION
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Yarmouth Conservation Commission
Administrative Review AUG 17 2022
Applicant Information: ,v (� By CUSP qt
Name:
Mailing Address: !n2 , o11)�Art- R ( //t ' o c7T P"
Phone: p?O� �__63n-'373 Email:/'L'V ka,ws ch p 4(441, /, civ.-7
I hereby authorize the individual members of the Yarmouth Conservation Commission and its agent(s)to anter upon the property listed
below for the purpose of Whoring information regarding this Administrative Review form.
Property/Location of Work: oinn 'T1)13'.1/66 pi4-111 Arlri PAN
` Street Name and Number
Signature: r�(/` ' "'r Atica-1(
Detailed Description and Reason for Proposed Work:
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/'. ,///l cif .d‘ .,% -1) 417-774
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Closest Distance to Resource Area: VJ‘ CLk N;Ikn
_Ai/fProposed Start Date:
Company to do Work: �./y�
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Name: S?4`9G �!/
Address:
Phone: Email:
Administrative Approval: r
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564 yvv)y- tat_ 5-f(u tt (1 CA e\Cle\ t a 00411
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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