HomeMy WebLinkAbout25-D005 44 Strawberry LaneTOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451 AEG L 2025
Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836
Old King's Highway
OLD KING'S HIGHWAY HISTORIC DISTRICT COMIVIITTEistoric District
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 lestibly:
Address of proposed work:
Owner(s)
must be submitted by owner or
Mailing address.
Email: ?nc ►1
Agent/contractor
Mailing Address
Email- OeVll
Map/Lot # r ��
J Phone # � � ''� e 51 �7
id by letter from owner approving submittal of application.
Year built: q
Preferred notification method US Mail Email
Phone #
Preferred notification method. US Mail V Email
Description of Pro osed Work 7eyiez J N.0 i L�P}V�`^ tln p
rTI C�i-J �j[fl.Lf�C
Signed (Owner or agent) Date:
> Photos (4 sets) showing all sides of building MUST accompany application. > If bu Iding 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.
> Ownerlconlractorlagent is aware that a permit is required from the Building Department (Check other departments, also.)
> 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 data of expiration of Building Permit, whichever date shall be later.
For Committee use only:
Rcvd Date: 'di N 117
Amount ` ou
CashlCK # t ��
Rcvd by:
45 Days: s
Approved Approved with modifications Denied
Reason for denial:
Signed:
Date Signed:
$5-D005
2rA2O° APPLICATION #:
i TOWN OF YARMOUTH
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451
VR
1
Telephone (508) 398-2231 Ext. 1292 IN (508) 398-0836
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE
WAIVER OF 45-DAY DETERMINATION
AUG D 1S
Old King's Highway
Historic District
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.
The applicant agrees to extend the time frame within which a determination is to be made as
required by the Old King's I lighway Regional Historic District Act.
SECTION 9 -Meetings, Hearings, Time fur Making Determinations
"As soon as convenient after such public hearing; but in any, event within forly-five (45) days
after the filing of application, or is ithin such further 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-
Applicant/Agent Name (please pri
Applicant/Agent signature: Date:
5 - D 0 0 5
3r102(1 Application 4:
TOWN OF YARMOUTH
OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE VgNgn
ABUTTERS' LIST AUG 0 4 2925
Applicant's (Owner) Name: C-V\A. Y-"Ai VC a✓kt Ow � A1aV4Old King's Highway
_ W todc District
Property Address/Location: uL( S w hf
Hearing Date: — ,�Y
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 Ma 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:
�vyy
Abutter Information:
511
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