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`> CONSERVATION
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kgrant@yarmouth.ma.us
TOWN OF YARMOUTH
VISTA PRUNING & VEGETATION REMOVAL APPLICATION
Applicant Information: V
Name: re Ct e r 1 I� t r Ind � S
Mailing Address: J`� C9V`e..._ V l t (L�v-€ 2 0- 1 ?c s 0
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Phone: Co ("- y 9 4 3 S S Email: F-rxrdreWto("LCre±t-e y�YVIA�X,.
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Signature: . c
Location of Work: s9 (11vJP___, Vic �.�� ( / -e, �p�r✓v�Z�✓
Street Name and Number
Map and Lot Number:
Distance to Resource Area:
Proposed Start Date: E -- -e.,yv ,
Licensed & Experienced Company to do Work: c
Name: �.Jjr1 L✓1 Qi`0\
Address: S C-CCLAI‘ \CA 0,Q SA - S. \ifrkrrvvvi! wt
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Phone: SO F 3 9 LI S O S I Email: (.0\,\.\\* �Pe c oC\ .
Title & Date of Landscape Plan:
Yarmouth Conservation Commission • 1146 Route 28,South Yarmouth, MA 02664 • (508)398-2231 • Ext 1288
Page 3 of 4
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Description and Reason for Project: The applicant must 1) Demonstrate that the proposed work will
not generate an adverse impact on the wetlands or the Buffer Zone, and 2) Benefit the Town of
Yarmouth community.
Administrative Approval:
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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
Page 4 of 4
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