HomeMy WebLinkAboutAdmin Review 11.21.23 CONSERVATION
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Yarmouth Conservation Commission
Administrative Review
Applicant Information:
Name: B/LL SGILL , Vr4
Mailing Address: e - go y. 2c7 yAe f eOUT(t porn roes oe 7r
Phone: .5 ae-39s'(637 Email: WIaMy£TU% ✓'FA,uum•ng r
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: .19 M r H 1f Cr Pt A'a
Street Name and Number
Signature: A),
Detailed Description and Reason for Proposed Works)r2-er'41 OVfL O F FA LLfitt 6.O--A*(C41
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b'f N7� t aM_a,ra.+C-c rcrr 61.05.
Closest Distance to Resource Area: O11119
Proposed Start Date: 03 S ocr 14,1 ' PO JJ)€L K
Company to do JW�oorrk: I'-
Name: . J ` M`c k(i'(({
Address:
Phone: Email:
Administrative Approval:
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This approval is valid for one year. This Approval does of 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