HomeMy WebLinkAboutbuilding permit sign off ov•YARd_
N _ , . Town of Yarmouth Conservation Office
grant@yarmouth.ma.
us
k M ` c $ Conservation Commission
Building Permit Sign-off Application
TO BE FILLED OUT BY BUILDING PERMIT APPLICANT:
Building Site Location: 4O &rct na \l'i eJ D(' S 1 it.,,--on o:Lkc.
Map # I oZ Lot(s)# 1
Property Owner: h v%%it ct,i,,ct ked+v, Moe,I,n t Date filed:
*Applicant: Jess k'.1, L-co, LLC
Applicant Address: `123 �-c C:,,i 13 ici�5- U. A- y'Ve YvknLk-CP., (lti'LcL oz_ 75
Email: a v h te,C kiss r1 Jer loath 3 • C6,-k Telephone: -17)6g —431 - 3 NA-
Proposed Project Description: rekevtGde:k QX 1 4 Ne-1,D howl- --- 1 ncA� t J
c rr r o ✓Y�1 -r- � - t hk i or — a ct de k
c2( s{-e--L9—?5t. ro orn 3 . 9-.w o ea l htb 2h t 5+%v1.5
Site Plan Title/Date: LtQ GraNNA Vie. 0 Or S„44,,_jr-ptc.40 t "a I - ( 3
TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR:
Does the proposed project require a permit? t--
Refer to: SE83- or DOA permit
Comments from Conservation Commissin: Approv ) Conditionally Approved Rejected
OO rm t r Ov C i1 / t,,, v At 0/0-1
Conservation Commission Sign-off Signature: Vtidl 0 oir Date: CI — 7 — 2
*TO APPLICANT:
All work-related debris shall be taken offsite or disposed in a legal upland location. At the end of each
day, the area shall be clean and no debris shall be in the Resource Area.
If work is permitted under an Order of Conditions, please arrange a pre-construction site visit with the
Conservation Administrator. At the time of site visit, the MassDEP File Number sign must be installed,
along with the erosion control/work-limit line. A copy of the Order of Conditions must remain on-site
during construction. Please refer to the Order of Conditions for further details.