HomeMy WebLinkAbout2 Yarmouth Stormwater Permit ApplicationPage 1 of 2
Town of Yarmouth Stormwater By-Law Ch. 145
Stormwater Management Permit Application
Important: When
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move your cursor -
do not use the
return key.
A. General Information
1.Project Location:
a. Street Address b. City/Town c. Zip Code
Latitude and Longitude: d. Latitude e. Longitude
f. Assessors Map/Plat Number g. Parcel /Lot Number
2.Applicant:
a. First Name b. Last Name
c. Organization
d. Street Address
e.City/Town f. State g. Zip Code
h. Phone Number j. Email Address
3.Property owner (required if different from applicant):Check if more than one owner
a. First Name b. Last Name
c. Organization
d. Street Address
e. City/Town f. State g. Zip Code
h. Phone Number j. Email address
4.Representative (if any):
a. First Name b. Last Name
c. Company
d. Street Address
e. City/Town f. State g. Zip Code
h. Phone Number j. Email address
5.Total Fee Paid:
a. Total Fee Paid
A. General Information (continued)
1272,1276 & 1282 Route 28 South Yarmouth 02664
41.667029 -70.19022
Map: 60 Block: 130 Lot #'s: 1272, 1276 & 1282
Ekaterina & Family, LLC
1282 Route 28
South Yarmouth MA 02664
(508) 240-4167 savoncc@gmail.com
Choubah Engineering Group, LLC
Halim Choubah
112 State Road
N. Dartmouth MA 02747
(508) 858-5040 hchoubah@choubahgroup.com
Same as Applicant
$210.00