HomeMy WebLinkAbout23-D001 35 Route 6A°Y TOWN OF YARMOUTH
0 y 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
ECEIV KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
NOV 2 2 2022 APPLICATION FOR
YARMOUTH..... 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_
Address of proposed work: 3.S 6646 &CMA- 0.�CSMap/Lot # f 3a
Owner(s): G 1 e ✓ k, -'a 1'� cU 16/ Phone #: tY�U — qoa -- +2
All applications must be submitted by owner r accompanied by letter from owner approving submittal of application.
Mailing address: oLi le M v Ua7C' $`Year built: [ T6 S
Email: -'orA , col i N1cir' r+ • Preferred notification method: 1:1US Mail Email
Agent/contractor:
Mailing Address:
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Phone #: I4� — dos,- Li I I C
Email:., SAt a�r� S�6!►it/'�R.Sy �TJ v�l'��:�'� �vr, Preferred notification method: U US Mail LVJr Email
Description of Proposed Work
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Signed (Owner or agent):
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o�l�l V4�1 1
Pre4c„I— +i-J Acr
CAL t eJ4-,V11 �- 6
Date: 1 l o
➢ 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.
➢ Owner/contractor/agent 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: I ` I» 7,3
Amount `7
Cash/CK #: jo-2�'5-
Rcvd by: L 5_
45 Days:
Reason for denial:
Signed:
Date Signed:
M020a
APPLICATION R
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: Ge-yiV, co16
Property Address/Location:
Hearing Date: _ az I a /11
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 Map 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.varmouth.ma.us
Applicant Information:
Abutter Information:
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Map Number Lot Number
iia 3a
P iJD 14343
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33 PtO I
31 PID i
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Application #: 23— 1
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