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Home My WebLink About23-D003 33 Summer StreetRECEIVED JUL 13 2023 YARMOUTH, ks� TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 * Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE APPLICATION FOR 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 (1) COPIES OF SITE PLAN AND PHOTOS ALONG WITH APPLICATION FORM AND ABUTTERS LIST. Type or print leaibty: LaucQA_ ,,,t_ Address of proposed work1 �CJ� ' MaplLot # /� �^� F�,p Owner(s): A l Phone #: QV3IC�iOt��y6 All applications must be submitted by owner or acco panied by letter from owner approving submittal of application. Mailing address: - p��`}nW,L,, �(�� Cr Year huik: Email: cay)Preferred notification method: US Mail ^ Email tractor. Agenticono _D'4,�_T5 t& Phone #: L f �}(� `�a Mailing Address Email, LW�,��i 'I��• U 1I IF 1 Preferred notification method, " US Mail Description of Pro o d Work Signed (Owner or agent): > Photos (4 sets) showing all sides of buiVng MUST accompany application, :- tf building is to be moved, give new location. n If relocation is granted. Cartihcate of Appropriateness application is required it new location is within the Yarmouth 0t' Distdd- D Ownerlcontraclorlagent is aware that a permit is required from the Building Department, (Check other departments, also.) D If application is approved, approval is subject to a 10day appeal period required by the Ad. D 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: Rcvd Date. Amount �1 1 CashlCK #. 11 1 i' Rcvd by: 45 Days: Date Signed Approved Approved with _modifications Denfed Reason for denial: Signed: APPLICATION #. �� P 13 Y TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (508) 398-2231 Ext. 1292 Fax (508) 39MS36 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE WAIVER OF 45-DAY DETERMINATION The applicant/applicant's agent understands and agrees that due to the current declared National and State public health emergencies the determination of our Application for a Certificate of Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such application. The applicant agrees to extend the time frame within which a determination is to be made as required by the Old King's Highway Regional Historic District Act. SECTION 9 -Meetings, Hearings, Time for Making Determinations "As soon as convenient after such public hearing: but in any event within forty-five (45) days after the filing of application, or within such further time as the applicant shall allow in writing, the Committee shall make a determination on the application. " Applicant understands that the review of this application will be scheduled as soon as the situation allows. Applicant/Agent Dame (please print):_ Applicant/Agent signature: WtbW�/L.. Date: tSt U� FcF—IVF—® JUL 13 2023 r ARIVIOUT h aQO20 Application k 93— ✓ 003 ' I �v , , .+ TOWN OF YARMOUTH OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE ABUTTERS' LIST Applicant's (Owner) Name: Y�- Property Address/Location: Hearing Gate: 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.yarmouth.ma.us Map Number Lot Number Applicant Information: 1 1 +! Abutter Information: ECEIVCD JUL 13 2023 f AKIVIUU I r� Application #: 2�— 000,3 -i N C T-; w w M N 0 a r Ll , ygg0 } RIECEIvE JUL 13 2023 (AHMOUTH D KING'S H! hlWAY fn N ,2H r D o03 _W RECFIVFD JUL 1 3 2023 t Aniuiuu I rs Ir, � .Y . y�Y• 4 ~ a �- RFCF#VEU F JUL 13 2023 i Ah iViUU f r OLD KING'S HIGHWAY ` g?�' 0 06 o� a d ! Z a D J w� Lu $d H a CL Cc z Lu vE �_ Q �~ w T;€ u (n } lip C r Nil ' . g a, ill 11°� YARMUUI r; OLD KING'S HIGHWAY n° �Io LR jo rp 11 a l ate- rn a 2 yy i ,j:r �1 [iC WLL 6 �pp S ry tin Lu ELI a Z a rl RI � Wa B� W �� O