HomeMy WebLinkAboutBuilding permit sign-offoc-lo Town of Yarmouth
Conservation Commission
Building Permit Sign-off Application
TO BE FILLED OUT BY BUILDING PERMIT APPLICANT:
Building Site Location: 3l -33 Covn 0{0 hJc,
oa>t Lot(s)#17
Property Owner:
*Applicant:
Applicant Address:OpL " ILL ha 0
Email ,f,.broko-ts trtupe 5 O h.J /1A A i L CoA Telephone 5 oo 6
Please noto: by submitting this application, the applicant grants permission to lhe Conseryalion Olfice to enterthe location to conduct a site vi (if needed)
Proposed Project Description :
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site pran ri,./D:EIh- 33 Connewra.,.a u,..ZS oz3
TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR:
Does the proposed project require a pe rmit? nO
Refer to: SE83-or DOA permit
Comments from Consentation Conditionally Approved Rejected
Date:Llltslzozz
p rove
-TO APPLICANT:
All work-related debris shall be taken offsite or disposed in a legal upland location. At the end of each
day, the area shall be clean and no debris shall be in the Resource Area.
lf work is permitted under an Order of Conditions, please arrange a pre-construction site visit with the
Conservation Administrator. At the time of site visit, the MassDEP File Number sign must be installed,
along with the erosion control/work-limit line. A copy of the Order of Conditions must remain on-site
during construction. Please refer to the Order of Conditions for further details.
Conservation Otfice
bdirienzo(@varmouth.ma.us
Map #
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Conseruation Cornmission S ign-off Signature:hil,T4,"du