HomeMy WebLinkAboutadmin review 8.15.2024 !'Y
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CONSERVATION OFFICE
F „ ;s'T bdirienzo@Yarmouth.ma.us
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Yarmouth Conservation Commission
Administrative Review
Applicant InnfoorCmation//�ijJ
Name: I-6 /ie Cam( / ��p�
Mailing Address: G/rf c` e-1145"�� #// /n- may/ ,tom
Phone: 7fi,�t13--."01 Email: �'o/raal/m*ireiv/.(O7h
/es/IeamcofferG�yaAoo. con/
I hereby authorize the individual members of the Yarmouth Conservation Commission and its agent(s)to en er upon the property listed
below for the purpose of gathering informationtin regarding this Administrative Review form. ,�,�/ �l
Property/Location of Work: /N Sey U?6(� /// ?J S #v20,697 ,/im- Ouc73
/�/ /n` Street Name and Number �/
Signature: al, ( , _,
Detailed Description and Reason for Proposed Work: ,�ep/rtt I(/ .,6YJ7 ,7 Glefilefd e7O
GU%fhpa .
Closest Distance to Resourcel t�Area: '/D/ MC � t . 003 ZO,/�
Proposed Start Date: U V/' ..,if
Company to do Work:
Name: g1Sea.r ili/err/es/ I5isiied
Address: 2 T/� �j'/ �& �19
Phone: Uil'y-1p/5(/p ,7 Email: /1/4
Administrative Approval:
Kt) ex(o,\5\on o- - -R)cQV,A- , ?0, a Nw + be peru«3 .
eros•or\ cor\-Vco1 *a .h' cn5 lled Or\ fV\-A- vv\Dr5\'\ S:clt o4 f Lewolk .
?Q iCAP-e A $ ill-1 Z a Z N ?DC),
This approval is valid for one year. This Approval does not grant any property righ 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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