HomeMy WebLinkAbout24-E021 315 Union Street ApprovedYOR ILL€1€,-F _`i N,`C'i Lid;
° -Y TOWN OF YA R M O U T H
° T1 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-"61
REC11 Telephone (508) 398-2231 Ext. 1292—Fax (508) 398-0836
MAR 2 6 2024OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
I
YARMOUI r, APPLICATION FOR
7 OLD KING'S HICaHWAY
CERTIFICATE OF EXEMPTION
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photograph,:
accompanying this application.
Tvoe or print lealbiv:
Address of proposed work. 31�!V�(150� �'r g ar� MaplLot # IOt �� f
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All applications must be subMitted by owner or accompanied by letter from owner approving submittal of application.
Mailing address: � 1 C Uhl` 1 �y< G�n� Z: ][ � VQLfl LDDNXear built ,&�C'�b /
Email. �Qt�Q 1n a `�V%�0. IS[C2 ��n�kt..(JAPreferred notification method Phone _v — Email
A°ent(Contractor Ph no #
Mailing Address
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Date Ws--,-02
i ownerlcontractodagent is aware that a permit fray be required from the Building Department. (Check other departments. also)
D This certificate is good for one year from approval date or upon dale of expiration of Building Permit, whichever date shalt be later
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Date: 3
Amount
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Rcvd by: L 5,
Date Signed: L) 5�51 q
V Approved Approved with changes Denied
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°Y TOWN OF YARMOUTH
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0'. . 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMWIITTEE
WAIVER OF 45-DAY DETERMINATION
The applicant/applicant's agent understands and agrees that due to the current declared National
and State public health emergencies the determination of our Application for a Certificate of
AppropriatenesslDemoIition/ Exemption may not be made within 45 days of the filing of such
application.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9 -Meeting's, Hearings, Time for Making Determinations
"As soon as convenient after such public hearing; but in anv event i0thin forte -five (45) davv
after the filing of application, or u thin sitch f rrlher time a.v the applicant shall allow in wriling,
the Committee shall make a determination on the application. "
Applicant understands that the review of this application will be scheduled as soon as the
situation allows.
Applicant/Agent Name (please print): 2rayl —
ApplicantlAgent signature: Date:
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3/2020
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