HomeMy WebLinkAboutAdmin review 7.22.2025 g YA
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Administrative Review
Applicant Information:
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Name: T. can
Mailing Address: 6� 0_ M. • YarrEi-
Phone: sq-- U -6 -! / Email: ' (badT9I� `
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.
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Property/Lo of Work:
l treet Name and Number
Signature:
Detailed Description and Reason fo po d ork:
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Closest Distance to Resource Area: ri(001
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Proposed Start Date: /F--ier:k�
Company to do Work:
Name:
Address:
Phone: Email:
Administrative Approval:
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