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Admin review 5.7.2024
CONSERVATION le OFFICE y / bdirienzo@yarmouth.ma.us Yarmouth Conservation Commission Administrative Review koolicant Information: Vame: /lUr r, Z-cif f Arn i4' Mailing Address: C 9 l r�4,(,(C/// l 7 / �!'GJ(� J �� 6/D�C(r�d(„P. / U Phone: S-06 c 9 Jgo h Email:/L/`• . 3� 6 9'/�� �r 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. Property/Location of Work: !H'! Street ame an Number Signature: Detailed Descrlptio and Reas for Proposed Work: // ,/^ 7 /1GLP Sn ke to / e r21ori q/(' !/h A,. c of a/ ��d .1 Gzez,/ /k iqk, (1414h. / hGC 7tr/4h ©h fn o-loe p(A -u0✓"k cA QiU ( G" aaLt- ►. Closest Distance to Resource Area: e-do /'f ctOad Tang• ()A CCUA-h{Qv L (J 5k Proposed Start Date: AS SO `j C/.0 J lG p- Company to do Work: I �i Name: ) / ,re,C? /l i ep c c Address: / /✓-/G ry �� /Phone: 17k "/'70 (d Email: h / JOYPCI // Administrative Approval: ✓17 0 21 tS D oanavcA etn( lac l v31-\ CvV 5}-t1n evvw,n picA.Le+vto,fi (fctV Ccc1\ 61>'2 ,(•S`r/�a��ve 'Ott) -Pr Ark aHcn 115÷ C LL 40 r c wt — l\P( S kv(A.c\ tat t Gt+ hcrti-a iv\ C uk This a pproval 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•Ent 1288 lacc oVe clo nu)- pvU c.'C' aS bwto cc,„ bC t,nni .°\ Lti,: a • a�„� . •v; .',y>::_Sw, y .., t .� ♦ .r ., \t i' r �9�r s' 4 /.�� •' ,i: "1, t < �.�.{.�, t ; 'I I L j..� a, i' r.• '� . 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