HomeMy WebLinkAbout5001 36 Appleby Rd Conservation Approval 12.15.22CONSERVATION
OFFICE
bdirienzo@yarrnouth.ma.us
Yarmouth Conservation Commission
Administrative Review
Applicant Information:
Name: L4k-\/0e, gaY`UCt.
Mailing Address: ib mot-�-H KA cobfl
Phone: USQ� 9 3 rl 3 k 39 Email: c5`te 7 @ `Okoo. C,,'7wj
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
Street N me and Number
a
Signature:
Detailed Description and Reason for Proposed Work:
w
Sl
0 uji,of atecl<
lrN((,?(,, e to �iG Sc, C+ 1
rp��t�uC1 ?tC+ ai1 ,I 1 ? 07
Closest Distance to Resource Area: A-o lvv`j E C Z,�►�
Proposed Start Hate: `� vim+ �4
Company to do Work:
Name: �AoY1'1 G W y\ef
Address: " (22 64 U J6 SS [ "— V-V' 'J "I'( bq t1.11 0 C) 6 17 -3
Phone: C-1A � �; 4 :� j Email: P:, t-�' +r^� W C-D
Administrative Approval:
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