HomeMy WebLinkAboutack of receipt • O. --Y (i DEPARTMENT
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COMMUNITY
OF
0 y DEVELOPMENT{rAGE TOWN OF YARMOUTH
CONSERVATION COMMISSION
Acknowledgment of Receipt
I, Aiy,5c,ucc,nscr, of Ac ,P. C.-
(Name) (Business/Company)
have received the following document(s) via hand delivery on this
2n 4 day of Auc u5 f- 20Aa at t '•3c) 6)1)/am.
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• Original Plan to be Copied and Returned SE83 -
• Order of Conditions SE83 -
• Extension Permits SE83-
• Certificate of Compliance SE83- ( 7 9� ///2.
♦ ORAD SE83-
♦ Determination of Applicability
(Street Address, Owners Name)
I
I
Signature
Yarmouth Conservation Commission• 1146 Route 28 • South Yannouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288 • Fax(508)-398-0836 • TTD#(508) 398-2231