HomeMy WebLinkAboutAdmin Review 1.31.24 l Y
� C CONSERVATION
C OFFICE
F ° � bdirienzo@varmouth.ma.us
�° Yarmouth Conservation Commission
Administrative Review
ApplicantI Information: \ l ` /V�
Name: F�caKCF4(lbw „1 ci }.69 SI JCV`J\ I' \C n 46\G\
Mailing Address:))
Phone: )Ut --1 45b V Email: \D p Lan 1'4_IL k L Co Ltti_
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.
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Property/Location of Work: l,l wAt �-` G1 IC00 \
Street Name and Number
Signature: , f-/7 A/(.71 _
Detailed Description and Reason for Proposed Work:
),1\c -di-Cljr Propov.k 40,,.0 rtocILRA ( 1-O0,4
Wd\ lnf kVCV ) PriCtMG4'6c1 �CO 39UG -{- of
ack6A, 4Q/VA\ Mti-tc rn--to,, p\at).-Is dtcer.k1 cb I1 Proro
Closest Distance to Resource Area:Ali,fi\A,1 SOk �lB lg COC, TQt V C✓, k_
Proposed Start Date: fl- )Y 4 1
Company to do Work:
Name:
Address:
Phone: Email:
Administrative Approval:
110 4)PR CQM(DJ'g14 5SC 1-0 CIOV'_CLQ (PVv9.cdl ?ioe'
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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•Ext 1288