HomeMy WebLinkAbout01A_SW Permit Application
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Town of Yarmouth Stormwater By-Law Ch. 145
Stormwater Management Permit Application
Important: When
filling out forms on
the computer, use
only the tab key to
move your cursor -
do not use the
return key.
A. General Information
1. Project Location:
669 Route 28 & portion of un-numbered lot to
the south
a. Street Address
02664-4492
c. Zip Code
Latitude and Longitude: 41-38’ 55.83” N
d. Latitude
70-13’ 29.35”W
e. Longitude
Map 24, Map 32
f. Assessors Map/Plat Number
92, 122 respectively
g. Parcel /Lot Number
2. Applicant:
Robert L
a. First Name
Whritenour, Jr.
b. Last Name
Town of Yarmouth
c. Organization
1146 Route 28
d. Street Address
South Yarmouth
e. City/Town
MA
f. State
02664-4492
g. Zip Code
508.398.2231
h. Phone Number
rwhritenour@ yarmouth.ma.us
j. Email Address
3. Property owner (required if different from applicant): Check if more than one owner
a. First Name
b. Last Name
c. Organization
d. Street Address
e. City/Town
f. State
g. Zip Code
h. Phone Number
j. Email address
4. Representative (if any):
Arek
a. First Name
Galle
b. Last Name
BETA Group Inc.
c. Company
89 Shrewsbury Street, Suite 300
d. Street Address
Worcester
e. City/Town
MA
f. State
010604
g. Zip Code
508.756.1600
h. Phone Number Agalle@beta-inc.com
j. Email address
5. Total Fee Paid:
Waived for Town Project
a. Total Fee Paid