Admin Review for invasive vegetation 5.6.2024 Y
f� Y AR r CONSERVATION
OFFICE
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r ,, '1 bdirienzo@varmouth.ma.us
Yarmouth Conservation Commission
Administrative Review
A licant Information: 'Jyd,/.
Name: /& IT //
T 1. 4<re I(I C.
Mailing Address: ) / tt/6p✓ ci (/ ,�Ytt.dwT / �.. ,,�1, 0...4 Gil"T//
Phone: '�r/0- 7 7G -O 6 e 6 Email: 01`e %V�( Akl'&/Iir,G ,Cum,
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 r rding this finis ati e Re ew form.
Property/Location of Work: 1V /✓1-r elea40,416
Street Name and mber
Signature: Aift,itti
Detailed Desccr ion and Reason for Proposed Work: '/1'wUA\ /
61-4 1-$%I t/it 7 1,4/4f1-/6 -i/'&4/0 f/U tiff ,C Q✓j' ford QAJ
Vix4f 1 /AO7. (- elf( file a/70,Q1kaft41-NiS)
Closest Distance to Resource Area:
Proposed Start Date: � I-V 2
Company to do Work:
Name:
Address:
Phone: Email:
Administrative Approval:
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This approval is valid for sae 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
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