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Admin Review 11.15.23
�Y Zo' !r CONSERVATION 3' OFFICE r,.. 5 bdirienzo@varmouth.ma.us ,. Yarmouth Conservation Commission Administrative Review Applicant Information: Name: /JCL it / /21 a/ib I1 J//P _/ / ////�/� may_) Mailing Address: Gh& /4/Je' 42 a �.� /��, /(/I//,�J'"G`l (/r/�,Ci /'/!/j v OV Phone: _ "' 7 6 �>� J 71 6 Email:`DOW r }?7/:j/IaLJ P/ clob,g •oc(1n�al,b l/ 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. / �f �jJ / ti Property/Location of Work:� /,J G✓f /{/Liar �Qrt �dlJ J'y �C{//`-{'✓JGu �✓h Street Name and Numb& Signature: r(J `✓/ //it/'/'/�, Detailed Description and Reason for Proposed Work.:Gil/ ! /7efrh. /c/ Pok,,� Closest Distance to Resource Area: /�//J,..yYY��� Proposed Start Date: I/1,t'J/') /U#2ro. V 0 ) Company to do Work: 111��� Name: 2a/ (J A% j I(Ji/f/ Address: o Q� �✓ Jo v�� Vices o Phone: ✓ 0 Q ,) 7.L 7 6 a Email: Administrative Approval: P Q7fOU�. Qeb NNS `o �f f` imovPd I 1 �/ 04' S.1 (( I tS(zoZ3 g��-�-- 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 , .) 4 . .1t,A.,"‘• ,.4011/Alro.it:MINDIM. .....,`,r, '4 t* .1.*-04$10:4WW.' , "' r; —,,,e•-•"' ; 4'V. . • • - - '' . ',r.:',5-'IRO it ki , • Ire ..... V* . , ,,, • .,. -., „..."."-z .. , -/ -:',..? ;* '',..•-_4- ::-. .. - - -4-floAlortt 44, ',,,- •, . , - I oft I .., , .,. . ' ' ,''''''''- 'AIP".. ,,- 41001, t,i'' , •' ',,‘ . ..,:l'''. ' IC—.5,1 /PO., ,.- -F-0 —.41 1741 --,-,e. , „: I,.. -.4 ido-„•-•,c,e,4.- i,,--, , /=.tp:;;,,...r • • ',. .e• . , _ • •A'- -..' ..44 l (44' -,,t :i1,,....*::': t;r.ICr ...s7..7 '9''''"44-`.;, , '-.,• , 0*, d ',/ - -,Vto,.".04-:ttS.-:IA,,',", • t-, tk'i•ai . -7 • '-, 44-'1,, .itc.;t4"0::,,,4',:•-•s :At.,-• 4411V *:. ' ., ,,,,,..vo- , ` ',, ' .'n.for';..-isr,-,,,--, .....- •:, 0.- • ,-",q ,.' i' an A- ilrell,;4'..' 7 , ,vCi..,;',1"40: •,*r '', ,,,,f, , ,.,,, _ , ) . -'4' «,';''"-1: -..`'',--i!r•t,,F-,:;,;7 I"',5,•f,,, ..:':,' .."-','--;•"..L,. ----• ' • 6', • ' 4,;:, 9.-!' , r"