HomeMy WebLinkAboutChapter 91 4/28/24Massachusetts Department of Environmental Protection
}r, Chapter 91 Waterways Water -Dependent, Nonwater Dependent, Amendment Application
Municipal Zoning Certificate
Note to Permittee: This form should be submitted, with the top portion completed, to the municipal clerk or zoning
official along with the complete application and project plans.
Grimoaldo Rustico and Sylvia Rustico
Name of Permittee
60 Grandview Ave Bass River Yarmouth
Project Address Name of Waterway City/Town
Description of project and use or change in use (this field is not limited to the one line shown).
Proposed Pier ram and float aporoved by conservation
To be completed by the municipal clerk or other municipal zoning official responsible for administering zoning
ordinances and by-laws.
,
I hereby certify that the project described above and more fully detailed in the Permittee's Waterways License
application and plans is not in violation of local zoning ordinances and/or by-laws."
A
Date
Cicy, I own
RECEIVE-D
FJUN 27 2024
Buil.DING DEPARTMENT
Zoning.doc Rev_1021 Page 1 of 1
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