HomeMy WebLinkAbout134 Route 6A Neon Sign complaint 11.20.23RECFIVFD_.
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{° o TOWN OF YARMOUTH! 026
°. 1146 ROUTE 28, SOUTH YARMOUTH, IIIASSACkUSETTS 026644451 OLD KING'S HIGHO
` 'telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
COMPLAINT FORM
PLEASE PRINT CLEARLY
Date. 0 - 2-0 - 23
Property Address of Complaint: ClalAgen 114 MA-
Property Owner Name(s) (- [don 'Tik.[c XAa' e
Property Owner Mailing Address: rvly
Description of Complaint: _ 7ryq-re. is cg-6-AxA2! , Pioxrre-scam-4 Co,mhm`__W___ _
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Pictures Provided: Yes No )f-
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The following information is required for prompt investigation. Failure to provide your name,
address and contact information will result in the OKH Committee and/or the Building
Department to process this complaint at their discretion.
Please note that this information is kept confidential unless you are required to testify as a witness
in a court of laiv.
Complainant Nanie: _r2 WC L% 4 140Aelk- IC.n4 &
Address: _ 1 -N-1 _ SuAdWAL Lalae- t�xw�_ry+ Pd6c W k - -
Phone: SOB -361- 74WBF Email: VnCAAAf-• Cs ,-% aWICUl ,r-&0
Preferred Method of Contact (check one) Phone: )C Email:
I Prefer to Remain Anonymous [ ] (check box)
OFFICE USE
Method of Submission: In -person Email Mail Referred to Building Bate:
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