HomeMy WebLinkAboutAR 8/27/2024 t'Y
CONSERVATION
OFFICE
bdirienzo@yarmouth.ma.us
Yarmouth Conservation Commission
Administrative Review
Applicant Information:nn^`I ��//�t
Name: AVVUj O(A Sk..j
Mailing Address:Phone: 415 �I 1 `14a pl 1 Email: A✓ f2/J IL. E (i,/yt/all
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 thisi lAd_ministrative Review form. `/ ""�� /]
Property/Location of Work: `LhV\tWC. t'L_ WA '1/t/1►•Ci\ft A
I nStreeet Name' jand Number
Signature: ( ONIV wW� ( •
Detailed Description and Reason for Proposed Work:
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Closest Distance to Resource Area: lb
Proposed Start Date:
Company to do Work: •. _ . ......y- -
Name:
Address:
Phone: Email:
Administrative Approval:
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This approval 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•Ext 1288