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tCONSERVATION
OFFICE
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Yarmouth Conservation Commission
Administrative Review
Applicant Information: \\
Name: M �r—,� Sl rr\d v..„.aS -
Mailing Address: 70 Cti.{`c 0 w tr —Ver/--a Ce_ S- yAr vv\vv +-h VV\e\.
Phone: LVS-as-0 _ ora-`i Email: may—k51 v"*-.or- S \D\ 43 yy�a‘\. Co nrN.
I hereby authorize the individual members of the Yarmouth Conservation Commission and its agent(s)to enter upon the property listed
below for the purpose of gathering information regarding this Administrative Review form.
Property/Location of Work: 7° 1/414.. 0.\/� ‘,,Per er —V@ r'r-o+c e i y r WI" +k 4\D .
)c____(-4 Street Name and Number
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Signature:
Detailed Description and Reason for Proposed Work: A kA \D X t S'ke.ci
Closest Distance to Resource Area: 7 /
Proposed Start Date: \D1 N )3
Company to do Work:
Name: \.\tee �o.r—\jc� DOA rQr•b�v Cif
Address: 3 ab Yes.r-w.o•. 't `T/,,^n,5 r Y `� ^ V�(v4
Phone: U --‘—n ( — CbD1 Email: r`�Jc�r�+.As APIvntl/\�r LIr'. tom
Administrative Approval: / r
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This approval is valid for one year. This Approval does not grant any property rights or any exclusive privileges;it does not
authorize any injury to private property or invasion of property.
Yarmouth Conservation Commission•1146 Route 28,South Yarmouth,MA 02664•(508)398-2231•Ext 1288
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114 Denotes
1 Wooden
0 pp Stakes Set
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kei P #84 Mayflower Terr.
Deed Bk. 27926
p0 `S,7• '1;' Pg. 38
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44 „is
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Lot 57, ,j( 4 111, eD
Plan Bk. 79Atir X
Pg. 101 P j cy 4394 'oe• CB
Area = �C �a�SN. ,� Fnd. % "
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13,500± Sq.Ft. ,os% ti68-.7///"',, P� ,
or 0.31 Acres er go,�
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Shed Ce yy `.
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;;' Dinah's
#72 Mayflower Terr. iti Pond
Deed Bk. 31790
Pg. 276 l'•
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I hereby certify that the structures
0vvck OF 4,3,_ shown hereon are located as they
4. tie, exist on the ground
DONALD s, Plot Plan of Land
POOLE '
No. 32662 / #80 Mayflower Terrace
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of
nald T. Po'1e Date Yarmouth, MA
FSs/oNqAP�p� . P.L.S. #32662 prepared for
Mark Simonds
CERMN .
Deed Book 35851 Page 173
nStreetPlan Book 79 Page 101
MA02631Scale 1 " = 40' August 28, 2023
54T7
ols #1296001
\ --_—== 80 120
SURVEY,