HomeMy WebLinkAbout08-A003 OKH Approved 05.01.2008via tiung•s nignway megionai Historic vistrict committee
In the Town of Yarmouth for a
YARMOUTH
t ' APPLICATION FOR TOWN' CI _ERK���
CERTIFICATE OF APPROPRIATENESS .�
1 70 MAY - I PI9 2: 36
Application Is hereby made in triplicate, forthe issuance of Certificate of Appropriateness, under Section 6
of Chapter 470, Acts and Resolves of Massachusetts,1973, for prgpgdgr)� as, d_e�c�ibed below and on
ra plans, drawings or photogphs accompanying this application fot . t tt V1—U
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: C New Building RAddition 1) Alteration
Indicate type of building: C House ❑ Garage C Commercial COther OlMjeo, learc
2. Exterior Painting: f< is. -A r TF iry
3. Signs or Billboards: 0 New Sigo t G Existing Sign C Repainting existing sign
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4. Structure: 0 Fence ❑ Wall I O Flagpole ❑Other
TYPE OR PRINT LEGIBLY i DATE 24 //�o 7
ADDRESS OF PROPOSED WORK y� eE�TFR S� �' �at TASSESSORS MAP NO. /3 -),
OWNER - JTtiiJ W I AJ tJ o ASSESSORS LOT NO. /3 0
HOME ADDRESS -y/ Ll E.0 r4' ' ZY7- Y ' Qo.cT TELEPHONE NO. %_ 0 7 7 YZ
AGENT OR CONTRACTOR .^D h v J�RN,,.tc,c1 TELEPHONE NOS^d F- 3 G 2'1 Z
ADDRESS Y/ � Ste- ZIP CODE ORA 7S
USE ATTACHED SHEET (PAGE #3) IN PACKET FOR ABUTTING OWNERS
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DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done Including materiaLt to be
used In case ojsigns, give locations of existing signs and proposed locations of new signs. (A ).
J _11 1 APPROVED
add ; +1 S cLn Y J+erJ_) DnS TD CA 2XiS+
ca r r o.� hove MAY -1 2008
YARMOUTH
OLD K NG'S HIGHWAY
Signed I Date /2- i/ c2 a 7
• ner-Contractor-Agent is aware that a Permit is required from the Building Department.
• All new construction will be subject to inspection by OKH Inspector.
• It is required that OKH approved (with BD stamp) plans are avall2ble on site for the framing
and final inspections.'.'
Soace below for Committee use only. f
Date This Certificate is here y
Chec 31 Date D , r E D
By��. IJAI A Ile 0 0 14
1
APPROVED IMPORTANT: f Certificate is approved, approval is subjIto2007
period provided in the ActDISAPPROVED Q PLEASE RETURN TO: Yarmouth OMC District Committee Yarmouth Town Hall, 1146 Route 29, S. Yarmo
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