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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 : eI E 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 # tn 6rn Attt r,t? \o"r"o,"o. tl lzs)? = R' "l Conseruation Cornmission S ign-off Signature:hil,T4,"du