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Yarmouth Conservation Commission
Administrative Review JAN 2 2024
Applicant Information:
RECEIVED
Name: "10 M LPG Dl�e0.— C-P.r,Mailing Addresses C r\\S(e- t"" QQ A'c..h. o
Phone: 7 8I io D 6 PI l Email:—1�V�i l�'n @ 9 erect l u. CF.N—.
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: 14 / -G4�p� S
O Q Street Name and Number
Signature: /-49r---tn-a-7
Detailed Description and Reason for Proposed Work: 0 X ' ca.), q p Z oo o w(1,S Cu-,olc`
X la -r-O w�r� ... Yi c eet 7/,f
C, u� I,e t s� `
)3j ff (RP rcron}
y 't1.k- u..rr1�- II s►.8 �rvre,g - -•
Closest Distance to Resource Area: I 0 ��7 0 II DID h1s3 T
Proposed Start Date: . p rt.rs
Company to do Work: f
Name: N 6 0,. �I.Ooa S/t
Address: -7 7 0 Ct,�G�a Prtj-ei Mai' tr� {n. f f 7 T
p p
Phone: l-7 1- Co i LF4(if Email: flC
Administrative Approval: �/v tI _t, ' SCJy "qr 1\�
lvp r�e ft vVien real00-eel 4r prc-c-1 .
i*cd ki`e v 2C2 20 7-
This approval is valid for one year. This Approval does not 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.Ezt 1288
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