Admin Review DENIED 3.26.2024 o4=YAR
a CONSERVATION
3C ar❑����tt�1npccptgrpec r�yyatt��R
Yarmouth Conservation Commission -- M
Administrative Review LMAR 1 2024
Applicant Information:
Name: 1IUPs 6 Q LS RECEIVED
Mailing Address: 2C1r1 i L=LIO i RA °T 612-416USE1/4l N')/ 17.6(r,(
Phone: .5-1 -'lV1. Email: let.bn j(XmQ.(I.Co riA
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 informationnf regardingre thisn Administrative Review form. rU n ,1
Property/Location of Work: 1 Li P'05 (-iJ1.1 Solid, yAQ,I.4 0 Vl t k I 1't�`t 62�OWD4
90-1,14.-
/\/� Street Name and Number
Signature: ,,,2y,C./lt f_Detailed Description and Reason for Proposed Work: 11)(1 112- 'KR) SHE
PISO. RFQ? ve5i II`\ -pc-2141%1aIJ -co VzMOvz. lW0 T D
Closest Distance to ResourceArea: 100 4 F
Proposed Start Date: A-s 9iON t , Po I t3).e.
Company to do/W1oork: n� n/1 t �/�
Name' CDO Pam• I-PcNbi15Pik1EY L k1, COOPS•
Address: �r�nn' 0 g(^1 tO47J S, MO UN MA O2(D(Q�
Phone: -NS•'3lf'2040 Email: 1n4)(UC.OI (t141S4A.P11.,.Dr0
Administrative Approval:
De(\\tc) - •no peact 1 ee s etc (54..
i4lt '}4e4S rnvS2 lery Jri. j(ZCt2°2L( 6)9(>r
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•tot 1288