HomeMy WebLinkAbout25-D004 43 Summer Streetnil X 9 R_ M DO
TOWN OF YARMOUTH JWAY 12 7025
° s 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664A451
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 Old ing's Highway
Histori- District
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
APPLICATION FOR
CERTIFICATE OF DEMOLITION OR REMOVAL
Application is hereby made for the issuance of a permit for the Demolition or Removal of a building or structure or
part thereof, under Section 6 of Chapter 470, Acts of 1973, as amended, for the proposed work described below
and on plans, drawings, or photographs accompanying this application. PLEASE SUBMIT FOUR (4) COPIES
OF SITE PLAN AND PHOTOS ALONG WITH APPLICATION FORM AND ABUTTERS LIST.
Type or print lealbly:
Address of proposed work S v A • Map/Lot # _ 7 . Z. t
Owner(s): J AVv 1 OS &-1 d P n-, tE Q{-,L L Phone #:cirR - Ci "' a C'
All applications must be submitted by owner or accompanied by letter from owner aapproving submittal of application.
Mailing address AU Ari,.,&n CZ Yt AI Iv I ?/Z1 Y Year built _ ��' 3
Email:$i�4 L • A'1M I��h r►>g �C1wL Preferred notification method: US Mail Email
Agent/contractor. NA Phone #
Mailing Address N
Email: ON • Preferred notification method: US Mail Email
Description of Proposed Work n�
V_'tMoufr"_ r1(�- Irl�1[3
Signed (Owner or agent): Date: 5 &2, 5-
Photos (4 sets) showing all sides of building MUST accompany application. > If building is to be moved, give new location.
> If relocation is granted, Certificate of Appropriateness application is required if new location is within the Yarmouth OKH District
Ownerlcontractorlagenl is aware that a permit Is required from the Building Department (Check other departments also)
y If application is approved, approval is subject to a 10-day appeal period required by the Act
> This certificate is good for one year from approval date or upon dale of expiration of Building Permit whichever date shall be later
For Committee use only.: Approved Approved with modifications Denied
Rcvd Date:i1S
Amount i.
Cash1CK #: S
Rcvd by: r� `
45 Days:
Date Signed:
MMOa
Reason fordenial:
Signed:
25- li
APPLICATION M
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TOWN OF YARMOUTH MAY 1Z202
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Old Kings Highway
Telephone (508) 398-2231 Ext. 1292 Fax (508) 398-0836 Historic District
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45-DAY DETERMINATION
The applicant/applicant's agent understands and agrees that due to the current declared National
and State public health emergencies the determination of our Application for a Certificate of
Appropriateness/Demolition/Exemption may not be made within 45 days of the filing of such
application.
"fhe applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's Highway Regional Historic District Act.
SECTION 9-Meelings, Hearings, Tine jar Making Determinations
"As soon as convenient a ter such public hearing; but in any event within fo)-ty-five (45) elojw
rjer the filing of application, or within sttch ftu-ther time as the applicant shall allow in writing,
the Committee shall make a determination on the application. "
Applicant understands that the review of this application will be scheduled as soon as the
situation allows. 22
Applicant/Agent Name (please
Applicant/Agent signatur Date; ,s Z &?
2 5 - D 0 0 3
Application #:
a2m
TOWN OF YARMOUTH
OLD KINGS HIGHWAY HISTORIC DISTRICT COMMITTEE
ABUTTERS' LIST
Applicant's (Owner) Name: Av,�n a, LZ
Property Address/Location: Ay vy� vw4
Hearing Date: _&I yla✓C
Notices must be sent to the Applicant and abutters (including owners of land on any
public or private street or way) who's property directly abuts or is across the street from
the Applicant. Please _provide the Assessor's Tax Map and Lot numbers only. The
OKH Office will send out notices using the addresses as they appear on the most recent
applicable tax list.
Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old King's
Highway Department page on the Town website: www.yarmouth ma us
Map Number Lot Number
Applicant Information: 1 t 3 Z 1
i LAO 0
Abutter Information:
MAY 1 2 2025
Old Kintj s Highway
Historic District
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