HomeMy WebLinkAboutadmin review denied 11.9.23 Y `\`ra CONSERVATION
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1G OFFICE
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Y .S' bdirienzo@varmouth.ma.us
Yarmouth Conservation Commission
Administrative Review
Applicant Information:
Name: / - 1
Mailing Address: ✓ l ` TW /[r G�� C 7
Phone: 0�` - 7 f�'/..7-ref)3 Email:/41 r G/.d..i%'
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: i/Y'/16, f y 17-7)A 11/4 %`-- I// •
Street Name and Number
Signature: -✓ ( ,
Detailed Description and Reason for Proposed Work: /V/?:/'f'I �� n./ 4 �1/(� � /
% 7'i{/,/7
Closest Distance to Resource Area: 7
Proposed Start Date: < Gr ,r .:�';=4 1P/✓t;s'
Comoanv to do Works:
Name: / c'. (_.'fit / 111 ± -S k Ja, , C"-1
Address: it.t. y Ailt,i7 L 1 h !`1,
Phone: re - ‘'.r- `r'"'V Email: 1 Sic f't(4,4 /
AdrnInig tive Approval: D,e,✓1�( �
'60 I )
nos approval is valid for one year. This Approval does not
horize any inlury to privateo grant any properly rights or arty exclusive privileges;it does not
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