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E Z � DEPARTMNT
OF
COMMUNITY
- DEVELOPMENT
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'` MATTA M FS�
°RPoF""''6� TOWN OF YARMOUTH
CONSERVATION COMMISSION
Acknowledgment of Receipt
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I� V\ �� of ��65m3 \
(Name) (Business/Co any)
have received the following document(s) via hand delivery on this
Z day of M EV C 20 Z L( at :0 S pm/am.
• Original Plan to be Copied and Returned SE83 -
• Order of Conditions SE83 -
• Extension Permits SE83-
• Certificate of Compliance SE83- Z \ Cc), S Le D ( �v^�
• ORAD SE83-
• Determination of Applicability 2_1 . .1‘&4-4 -o -Up
(Stree 'Address, Owners Name) way(.
hate
Yarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288 • Fax (508)-398-0836 • TTD# (508) 398-2231