HomeMy WebLinkAbout25-E050 15 Barnacle Road ApprovedTOWN OF YARMOUTH a'
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-451
F Telephone (508) 398-2231 Ext. 1292—Fax (508) 39"836
IIIN 0 3 2025
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
YARMOUTH TOWN CLERK RE Old K_iig s Highway
JUN 5125 Pm2:08 APPLICATION FOR Historic District
CERTIFICATE OF EXEMPTION
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 and 7 of Chapter 470 of
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
Address of proposed work:
Ovmegsl: L(r 010 fa-s
All applications must be
Mailing address: B(A (-(
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subrn tl6ed.bv owner
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by
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Phone #: (r7?12 � ` 0 5o
f�rom owner approving submittal of application.
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r � a (P7S Year Iwilt: jq 7.3
Email: npg ajr l 4-o 5 a 11,( 60 Preferred notification method. ✓ Phone Email
Aaent/Contractor. Phone #:
Mailing Address:
Email: Preferred notification method: Phone Email
ipescria ion of ProppaW Wont (Additional caaas may be attached d ry1:
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Signed (Owner or agent): Date:
Owner1—ibactodagent is aware that a permit may be required from the Building Department. (Check other depaftwft, also.)
i This ceffm to is good for one year from approval date or upon date of exiration of Building PermR, whichever date shall be later.
Dube:
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CashlCK #.
Rcvd by: b 5,
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Date Signed: 6 1 3 i1Zu x 5
Approved Approved with changes Denied U
Reason for denial: JUN 0 5 2025
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4-` &,69S
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Histodc District
See dalalled product space on papa 41 for odor avattablltly
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