HomeMy WebLinkAbout4988 67 Eldridge Rd ConComm admin approval 11.29.22.YAR'r
Yarmouth Conservation Commission
Administrative Review
Applicant Information:
Name:
CONSERVATION
OFFICE
bdirienzo@Varmouth.ma.us
Mailing Address: e& 6yx- ?V y 942- OD-t-, T (_
Phone: Email:_
I hereby authorize the individual members of the Yarmouth Conservation Commission and its agent(s) to enter upon the property listed
below for the purpose of gathering information regarding this Administrative Review form.
Property/Location of
Name and Number
Signature:
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Detailed Description and Reason for Proposed Work: �a�?{ 7���f rrL
and ;2,61 4 re ca-all" W&a 4=5�� D Lla -y-
Closest Distance to Resource Area: JJ� a� El� -za, -
Proposed Start Date: ff
Company to do Work:
Name:
Address: e (). (3 (_�< ,�-yc% /TZ� Ptd� tIV 6f—(`—
Phone:Email: %�
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.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