HomeMy WebLinkAboutAdmin review 5.22.2024 2 r, CONSERVATION
�� OFFICE
+-� bdirienzo@yarmouth.ma.us
Yarmouth Conservation Commission
Administrative Review
Applicant Information:
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Name: /(O C-rJ G ,1T �c(
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Mailing Address: I Ciie(� t-s s:11\ 6,/'1 / /et'c:7 w? P U�
Phone: (p 03. Z 3,j! 7Oc' Email: rLL/Cr/G(ec✓ re l.6zcdd/4r.1 ,co.^
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: y T J /Yyy 2 ter'
Street flame and Number
Signature: /t,t //ur c .
Detailed Description and Reason for Proposed Work:
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Closest Distance to Resource Area: )5, / f
Proposed Start Date: free-.. cc
Company to do Work: e.e / / �p�(
Name: � /ice �g,P/I fc•�^[�/ A" r"" 14' � G
Address:
Phone: Email:
Administrative Approval:
-Y()1r1cery 1\ Roo,Ir(c\ w h \•S co IA or son I t
cv(0,m1V 1;s4. S tu\r`) rvvil LA 5r00ncL•
C\14 1202L( �D�l ,tE(
This approval is valid for one year.This Approval does not grant any property rights or any e srve 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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