HomeMy WebLinkAbout23-E101 485 Route 6A Approvedy}} _, �.
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G TOWN OF YARMOUTH
1 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
Telephone (508) 398-2231 Ext. 1292-Fax (608) 398-0836
RECF-'VF&8 KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
DEC 1 & 2023 APPLICATION FOR
Anmv )LJ 1 r, CERTIFICATE OF EXEMPTION
OLD KING'S HIGHWAY
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
Type or print legibly: t C ,
Address of proposed work: � � /Y/ l d r' z O Map/Lot #
Owners : tS C CA N 692 4A X Phone #: 6VU — 3C�a _ a 0
All applications must be submitted by owner or accompanied by letter from owner approving submittal of
application.
Mailing address: 4lS6 /�qI1/f / ,01 Aj 1 /}, 'P4+eI-r, /14A d d 6 7!} Year built: l/ C/ T a
Email: � `aLis� � 1�P�Gtan ��JA4M sf i A44f�ed notification method: Phone Email
Aaent/Contractor; ikil +!Lr 0,d M 0 v UT 1570 M Phone #: 7 0 r ~,53 ( —170 0
Mailing Address: +�� (✓h/�sL A 146 w ly bows, '
e 0 VV\
Email: AA vi (INC otM A 220 &, t?d M6WAC51VG7, Preferred notification method: X Phone Email
Description of Proposed Work (Additional Rages may be attached if necessary):
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agent):
or Owner Signed a : g ( g }
Hate;
➢ Owner/contractorlagent is aware that a permit may be required from the Building Department. (Check other departments, also.)
➢ This certificate is good for one year from approval date or upon date of expiration of Building Permit, whichever date shall be later.
For Committee use oniv:
Date:
Amount �N _
Cash/CK #: ff
Rcvd by ice'1
Approved Approved with changes
Reason for denial;
Denied i
Date Signed. QJ-�Signed:
APPLICATION #:
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From: All Gray agraycapecod@comcast.net cf
Subject: Fwd:
Date: December 16, 2023 at 10:55 AM
To: Deborah Gray dgraycapecod@comcast.net
Begin forwarded message:
From: Albert Gray <agraycapecod comcast.net>
Date: December 16, 2023 at 10:47:36 AM EST
To: Albert Gray <agraycapecod@comcast.net>
Sent from my Phone
17IP 1
RErFIVFr
DEC 18 2023
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�D K1NG'S HfGHWAY
APPROVED
JAN 0 2 2024
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From: All Gray agraycapecod@comcast.net 6?
Subject: Fwd:
Date: December 16, 2023 at 10:55 AM
To: Deborah Gray dgraycapecod@comcast.net
Begin forwarded message:
From: Albert Gray <agraycapecod@comcast.net>
Date: December 16, 2023 at 10:47:11 AM EST
To: Albert Gray <agraycapecod@comcast.net>
Sent from my Phone
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DEC 18 2023
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OLD KING'S HIGHWAY
JAPPR�nVED
K JAN 0 202
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