7-E007 68 Pine Street ApprovedOLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE
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CERTIFICATE OF EXEMPTION
Application is hereby made for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans,
drawings, or photographs accompanying this application.
TYPE OR PRINT LEGIBLY DATE 3 ` _0 %
ADDRESS OF PROPOSED WORT{ (00 r—t, LQ, 5 h,ZQ --6 (JOJ I QtI2� j�V' SSESSORS MAP # I
OWNER J htA ASSESSORS LOT #_
HOME ADDRESS (O;n CZ-4S t- fi d11j 1 a( A � G �% TELEPHONE # >
AGENT OR CONTRACTOR U�YL(A f� ��CS�7�i,L �L�(� �' 1
ADDRESS &K 3(� Co a OM (t" , in4 0 a(a75 TELEPHONE # SVi37,5_V:3
THIS APPLICATION IS FOR EXEMPTION OF PROPOSED EXTERIOR CONSTRUCTION ON THE GROUNDS T w
IT WILL NOT BE VISIBLE FROM ANY WAY OR PUBLIC PLACE. co
( ) IT IS WITHIN A CATEGORY DECLARED ENTITLED TO EXEMPTION BY OLD KING=—S HIGHWAY REGIONAL HISTORIC
DISTRICT COMMISSION. (Check applicable box)
PROPOSED WORK: DESCRIBE WORK, SHOWING LOCATION ON LOT, AND, IF AN ADDITION IS INVOLVED, SHOWING LOCATION OF
EXISTING BUILDING.
LJA a ,j4-rtcVC �Lcti�{ c�c „[,Xs�-c.ic-o-2. ,��Cr�:�� ..c..�._ , (6rx-t -6 .
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Ito )e0 >1d "Aim
Signed L
ner - Contractor- Agent
below for Committee use.
Received by OKHC The certificate is herebyi/G!/!
Date
YARMOU iH
Check#
tOLDKING'S IliGi ..
By Date
APPROVED( )
DENIED
Add Window
Add porch roof Andersen® 24310
to match existing windows
Tt
revised 315/07
i- 3R o � reviled 11/15/06
v'secd 10/30/06
NAR Q $ 2007 v sed 10125106
YARMaUTH ' ear
D �j"~ —��G H W
68 Pine Street
Yarmouth Port, Massachusetts
Dr. and Mrs. Bruce Gordon Residence
October 24, 2006 1 scale 1/4" = 1' 1 drawn by: jnb
. ROVED
MAR 0 8 2007
A MOUTH
K vG'S HIGHWAY
}evioea 315107
revised 11/15/06
rPvioed 10130106
68 Pine Street
Left Yarmouth Port, Massachusetts
Dr. and Mrs. Bruce Gordon Residence
October 18, 2006 scale 1/4" = 1' drawn by: inb
9/ a3
Sy
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SS 9�2 top
1g4
0'
. 0
60' `p w
LOT 9A
a
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47239 S.F.
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WORK MUST CONF[fiiN! TO ALL 7"
_ByLAWS AND REGULATM
I HEREBY CERTIFY THAT
YARMOUTH WATER 4EPT DATE
THE DWELLING DEPICTED ON THIS
PLAN WAS LOCATED ON THE GROUND
�'
PLOT PLAN
BY SURVEY ON MAY 14. 2002
IN
AND EXISTS AS SHOWN AS OF THE
DATE OF LOCATION. : MRmDUTtI. M14.
®
F�Ii�
SCALE: 1 '-40 " MAY 16, 2002
THIS PLAN IS FOR PLOT PLAN
g 2��7 REVISED OCT. 31, 2006
PURPOSES ONLY AND NOT FOR
AGLE SURVEYING, INC
RECORDING. DEED DESCRIPTIONS -
oas Route "
Y/..FRAI ,-,'JTH
OR ESTABLISHING PROPERTY LIMES. JLD KING
Ya rnruth�ieM) A. 02070
s;�G (500) 362-0132
.
WAY , 6333
THIS PLAN IS VOID IF NOT
STAMPED AND SIGNED IN RED. 0 20 40
80 PROJECT NO. 01-138