HomeMy WebLinkAbout19-E047 2 Kencomsett Circle ApprovedU
TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 'RFC
Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836� D
Rqjj�:S HIGHWAY HISTORIC DISTRICT COM lTTI 0 fi 201
MAY - 8 2019 APPLICATION FOR 7D YAN S HIGHWAY
j CERTIFICATE OF EXEMPTION
' TOWN CLERK
Appli tion is`Q{ &W 4ANYTAnuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of
Acts 11973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
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Map/Lot # 01 • ,-co
U:Mariat Phone #: "115 - 5 1.9.:_3 8
applications must be submitted by owner or accompanied by letter from owner approving submittal of application.
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address: �}._ 57 i.df1na�T�ir..rn.J4 d��r�3 Year built:
Preferred notification method: Phone Email
A e4contractor: Tl Phone #: q 75 . S,qC1 - &g 70
Mailin Address: 5 t-I
Email Preferred notification method: Phone Email
To e<onsdrcx- L i(y y 19 ` (3yd, pUc?.d ar) sNfc Corer ele blocks.
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(Owner or agent): " C
Date:
➢ I Owner/contractor/agent is aware that a permit may be required from the Building Department. (Check other departments, also.)
➢ This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
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Amou I G�
Cas K #: 9133
Rcvd y:/
s! Approved
Reason for denial:
Approved with changes Denied--
•r--ee+.+l�A� A P P MOVED
OLD KING'S HIGHWAY
Date Sii Ined: 47 Z 0/9 Signed: u'4` 9
APPLICATION #
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Lot M
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FOR LOT #
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age d1sposal ( cesspool )
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MAY - 8 2019
TOWN CLERK
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RECEIVED
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Name
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7 2C19
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