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HomeMy WebLinkAboutImage_002.pdf - BLDT-23-2107 20710TOWN OF YARMOUTH BUILDING DEPARTMENT 11,t6 Route 28. South Yarmouth, NIA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Expiration Date $50.00 TRENCH PERIIIT t to G.L. c. E2A $l and 520 CMR 7.00 et seq.(as amended) IIIIS PERVII }IUST BE FL'I"LY COMPLETED PRIOR TO CONSIDERATION Dcscriplion, Iocrtioo rrd prrpoct ol propc.d ttcmh: Plcr.r dcscribt thc crrct locrtiou ol ahc propot(d lrt Eh rod itt purIrc (includc r dccriptioo of vbtt it (or is inlcod.d) io bc ldd in proposcd IEDCh (.!; pipcJcrblc lincr etc-) Pltu usc rrrrrr sidr ia rddilio.d sp$c ir rrcdcd. Permit Number Date Issued qa // {ro- ffrl' 'rf€ Z.r/rll r/,/rn t4 ff4/f "{h 3)6 / Klnsurrncc Ccrtificrtc l: l{rrr rod Contrct lnlormrtloo ol Insunr: Ha.-t FiPo rrtion D.t.: Di3 Srlc l:7o737Lozt/o rrl Ptrson lrs defined by 520 ('\lR 7.02 ''l/-,' I,J 6osel*' e Corrtccts/.^r* ^(*t3j VED T 0 DBUL 3 * t//t .o7t/. cc't tbs- ?/t. r Ql EmailAddress: Argll! e,,"-ro-,/. rrl Nrrr ol Apglkrnt Sarlrt Adras (ke /.r1t/t vlL/7q //,l"q zL6ut]tA ICiar/Torn //a r,Yl1 Nrnr ol Ercavoaot (if dil?crtoa froitt rpplicsna) Str.d Add16r Phoa Cell Enrail Address: ltA UPCitr/Town Nenro.o.'rrrgr of PloF't, /fo ^k a-,btryl i"'*Yi* [.',t,,/ /4 Cell Enlail Address: Ptor: yo.^*/4Ciay/Torn L./ }IA ztP O(hcr Cooar$Pcrmit Frc Rrccturd No( ) Y6( ) Nrnr ol Comprtr b /o P