HomeMy WebLinkAboutwaiver` 0 CONSERVATION
OFFICE
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'APRQAI Town of Yarmouth
Conservation Commission
21-DAY WAIVER
Please complete this form, sign at the bottom and return to the Conservation Office.
1, �/ O s � ✓ �AAV L , hereby waive the
21-day time period for a public hearing/meeting and/or issuance of the:
OOC / DOA / COC / ORAD following receipt of my filing of a:
❑ Notice of Intent
x 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
for work at 611O)e6510t_g
(project address/location)
I am the: Applicant
/��/01) iF . d by onservat�on
❑ Applicant's Representative
❑ Property wner
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