HomeMy WebLinkAbout5038 184 South Sea Ave #10 Conservation Sign-OffBuilding Site Location.
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Map #
Property Owner
Town of Yarmouth Conservation Office
Conservation Commission
Building Permit Sign -off Application
TO BE FILLED OUT BY BUILDING PERMIT APPLICANT.
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'Applicant: J ON �\ \NN —T \f L �
Applicant Address. ( . (O l
Email: J 5 COw\Cv.55 -P Telephone: _50 -3�>l C `�
Pbasa nob by submi"ttw ppitcetion, tM appicant Wa+ks peffnission to tM Consonrotbn Office to enter the bcatfon to conduct a sit. visit (M naedad)
Proposed Project Description: A N 6 R c I2 L AC' rI:z_
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Site Plan Title/Date:
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TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR:
Does the proposed project require a permit? � )
Refer to: SE83- DOAA pC
ermit
Comments from Conservation CommissApproved Conditionally Approved
Conservation Commission Sign -off Signature: /ai/ � Daft: I-
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Rejected
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'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.
If 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.