HomeMy WebLinkAbout134 Route 6A Neon Sign complaint 11.21.23c TOWN OF YARMOUTH iq�e�
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
--OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
ECEIVE
4 COMPLAINT FORM
NOV 21 2023 1
( ANVIUV I I- I Date: A f �z r
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Property Address of Complaint:l
Property Owner Name(s) �aP�
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Property Owner Mailing Address:
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Description of Complaint:
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Pictures Provided: Yes No_p.,"
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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 law.�,y�j���
Complainant Name: 1-A& �.& Il�GW� /�/ -1ri�� �`o� w� ►`LJ
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Address: if4*1414e. �' z-Al
Preferred Method of Contact (check one) Phone: Email: ✓
I Prefer to Remain Anonymous [ ] (check box)
OFFICE USE
Method of Submission: In -person X Email Mail Referred to Building Date:
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