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APPLICATION FOR PERM!T
City or Town: Yarmouth
Date:LL/2L/2024
permit Number: 103388
ln accordance wilh the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
by ABT CARLUCCI
For permission to: Above Ground Tank Removal 527CMR 1,12.8.2
Name of Competent Operato r: CARLUCCVJOHN K. HOLMES
Date lssued-Rejected tt / 2L / 2024 By
Cert. No.
Date ol Expiration Fee: $s0.00 $ paid
184
GINGO2
(Signature of applicant)
Due
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Drprir*f ,! Jit'," hn"ra - W ,l il* M J,t" TlL,il*l
F.A. 8", 1025, ll"j" P*ot, bl"*, mA 01115
Address: 15 GINGERPLUM LANE /South Yarmouth, MA 02664