HomeMy WebLinkAbout22-D001 38 Church StreetTOWN OF YARMOUTH
ME-,, ts" 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
�E Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
OCT 2 5 2022 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
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4 APPLICATION FOR
�CII•fG'S HIGHW/��' J
CERTIFICATE OF DEMOLITION OR REMOVAL
Application is hereby made for the issuance of a permit for the Demolition or Removal of a building or structure or
part thereof, under Section 6 of Chapter 470, Acts of 1973, as amended, for the proposed work described below
and on plans, drawings, or photographs accompanying this application. PLEASE SUBMIT FOUR (4) COPIES
OF SITE PLAN AND PHOTOS ALONG WITH APPLICATION FORM AND ABUTTERS LIST.
Type or print legibly_ 29 ^ 9Xe'N 9- ,' + �, 0X7V �6Rr
Address of proposed work: �tO u-t7 f Y N+r l� 7 �7 Map/Lot # _` w 1
Owner(s): Phone #: — 5
All applications must a submitted by owner or accompanied by letter from owner approving submittal of application,
Mailinc
Email:
Off. Yearbuilt:
method: 1/ US Mail Email
Agent/contractor: .T d Phone #:
Mailing Address: IL & S4 ,_(IT- 0 � �7
Email Preferred notification method: US Mail Email
Description of Proposed Work
A51KD1--1 /eA) OF &ARN
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Signed (Owner or agent):
Date: 5'
> Photos (4 sets) showing all sides of building MUST accompany application. �- If building is to be moved, give new location.
If relocation is granted, Certificate of Appropriateness application is required if new location is within the Yarmouth OKH District.
Ownerlcontractodagent is aware that a permit is required from the Building Department. (Check other departments, also.)
If application is approved, approval is subject to a 10-day appeal period required by the Act
% This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
For Committee use only: Approved Approved with modifications Denied
Rcvd Date: 0 2§
Amount j�c 40
Cash1CK #:
Rcvd by:
45 Days:
Date Signed:
Reason for denial:
Signed:
zrzozca APPLICATION* �9' 0 00i
°`0 TOWN OF YARMOUTH
o li, 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (503) 398-0836
OLD IUNG'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45-DAY DETERMINATION
The applicant/applicant's agent understands and agrees that due to the current declared National
and State public health emergencies the determination of our Application for a Certificate of
Appt-optiateness/Demolition/Exemption may not be made within 45 days of the filing of such
application.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District'Act.
SECTION 9 -Meetings, Hearings, Time for Making Determinations
"As soon as convenient after such public hearing; but in any event within forty-five (15) rdrwy
after 1he filing q%application, or within such further time as the applicant shall allo►r° in writing,
the Committee shall make a determination on the application. "
Applicant understands that the review of this. application will be scheduled as soon as the
situation allows.
Applicant/Agent Name (pl
Applicant/Agent signature
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OCT 2 5 2022
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Application #: �a, 00
3/2020---------- -
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TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: (f 2>4 V_ LLL
Property Address/Location:}-
Hearing Date-. t I ,l V ;�
Notices must be sent to the Applicant and abutters (including owners of land on any
public or private street or way) who's property directly abuts or is across the street from
the Applicant. Please provide the Assessor's Tax Mau and Lot numbers only. The
OKH Office will send out notices using the addresses as they appear on the most recent
applicable tax list.
Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's
Highway Department page on the Town website: www Yarmouth.ma.us
Applicant Information:
Abutter Information:
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Application #: 22— 00VI
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