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APPLICATION FOR PERMIT
City or Town: Yarmouth
Date:Lr/20/2024
Permit Number: 103410
ln accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10 A application is hereby made
bY: DEBoRAH KEARNEY
Address: 15 SYRITHAS WAY /South Yarmouth, MA 02664
Name of Competent Operator KEARNEY/REMOVAL PRO LLC
Date lssued-Rejecled LL/20 /2024 By
Cerl. No.
Date of Expiration Fee: $50.00 g paid
\s\
(Signature ol applicant)
Due
For permission to: Above Ground Tank Removal 527CMR 1.12.8,2
184
l55YRITHASWAY