HomeMy WebLinkAboutsigned 21 day waiver form.pdfCONSERVATION
OFFICE
Town of Yarmouth
Conservation Commission
21-DAY WAIVER
Please complete this form, sign at the bottom and return to the Conservation Office.
I. J Q k� ,r-R.y (. 1 ko
21-day time period for a public heari
, hereby waive the
issuance of the:
OOC / DOA / COC / ORAD following receipt of my filing of a:
Q Notice of Intent
❑ Request for Determination of Applicability
❑ Request for Certificate of Compliance
❑ Other
by the Yarmouth Conservation Commission under Massachusetts General Laws,
Ch. 131, sec. 40, and/or under Yarmouth Wetland Bylaw.
The application was submitted on
forwork at 316, 669, 674, 700,
(project addressAocation)
I am the: " Applicant
August 1, 2024
(date received by Conservation office)
and 728 Route 28 (Main Street)
[] Applicant's Representative
❑ Property Owner
z Ulf
Signatu
Date
NOTE: Please be advised that you will be notified of the meeting date once this
application has been assigned to a Conservation Meeting Agenda at the email address
listed on the application.
21 day waiver Rev July 2024 New Logo