HomeMy WebLinkAboutChapter 91 4/23/24 1 Massachusetts Department of Environmental Protection
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.
Town of Yarmouth - Bass River Golf Course
Name of Permittee
62 Highbank Road unnamed 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).
Replacement of the golf cart/pedestrian bridge at the 18th golf hole.
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."
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Print Name of icipal on' fficial Date
Clix--a...
Signature fficia Title City/Town
Zoning.doc Rev_1021 Page 1 of 1