HomeMy WebLinkAbout25-A051-A1 20 Mill Lane ApprovedRD
TOWN OF YARMOUTH
f J� 1146 ROUTE 28. SOUTH YAR-NIOUTH, NIASSACHUSETTS 02664-44;1 JUN 18 2029
Telephone (508) 398-2231 Est. 1292 Fax (508) 398 0836
OI.D I:ING'S HIGIRVAl' HISTORIC DISTRICT CO.NIIIITTEE Old King's Highway
Historic District
AMENDMENTFORM
("MINOR CHANGE REQUEST")
A minor change request must be submitted within one year of the original approval date or while the work is still in
progress Only a minor change may be approved by the Committee without the filing of a new application.
PLEASE TYPE OR PRINT LEGIBLY
Original Application #. A ' Original Approval Date - Z ZS
Address of proposed work: SO 0" 1 0,' +"-i t J6 A & A 00T { 4 r' B 7L7�-
Owner(s): A^) —_ Phone #: S0,? 32a6_,! l g 0
Mailing address: 6 UGLC to) �,L J� �,N �N /r A
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Email, ftle-! e)1� U(,I�, GLtff���� Preferred notrficat,on method Phone _Email _US Mail o 2-6
Agent/Contractor Sri R &)CA GD1V:5 f p/U Phone r. 0of r? 27 -7 / C%
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Email 160M. or d5;j!,eC6/1 014-IA Preferred notification method Phone V Email
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Please describe proposed change(s) and attach planstphotos (as necessary)
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Signed (Owner or Agent) _
Z..............
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V Approved by OKH
Reason for Denial
Signed OKH Chairman
- — Denied by OKH
Date
New CrA required? Yes ! D D we
JUN 18 2025
Old Kings Highway
Historic District
Date
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