HomeMy WebLinkAboutAdmin Review 1.23.2026Yarmouth Conservation Commission
Administrative Review
Applicant Information:
Name:
Mailing Address:
Phone: Email:
I hereby authorize the individual members of the Yarmouth Conservation Commission and its agent(s) to enter upon the property listed
below for the purpose of gathering information regarding this Administrative Review form.
Property/Location of Work:
Street Name and Number
Signature:
Detailed Description and Reason for Proposed Work:
Closest Distance to Resource Area:
Proposed Start Date:
Company to do Work:
Name:
Address:
Phone: Email:
Administrative Approval:
There is a $50 application fee, which can be paid by cash or check made to "Town of Yarmouth". This approval is valid for
one year. This Approval does not grant any property rights or any exclusive privileges; it does not authorize any injury to
private property or invasion of property.
Yarmouth Conservation Commission · 1146 Route 28, South Yarmouth, MA 02664 · (508) 398-2231 · Ext 1288
CONSERVATION
OFFICE
bdirienzo@yarmouth.ma.us
jjerolimo@yarmouth.ma.us
rev 9/2025
Approved 1/23/2026
Sand Dollar Customs LLC
259 Great Western Rd. Unit B
South Dennis MA 02660
508-694-5618
Sanddollarcustoms.com
General Contractor and Owner Agreement
Authorization To Proceed
I hereby authorize Sand Dollar Customs LLC to proceed with construction at
_____________________________________________________ in accordance with
signed estimate # ____________, dated ____/____/_____.
Homeowner agrees to make payments to Sand Dollar Customs LLC in accordance
with the payment schedule listed on the signed and agreed upon estimate.
______________________________________________________________________
Homeowner Date
Sand Dollar Customs Representative Date
90 Seaview Ave., Unit 8, S. Yarmouth
05 10 25