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26-D003 67 Cranberry Lane
AUG 1 0 2076 TOWN OF YARMOUTH OldKrf�� 5 Highway 1146 ROUTE 28, SOUTH YARMOUTH. MA 026644451 9 Y Telephone (508) 398-2231 Ext. 1292-Fax (508) 398-0836 Historic District OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE APPLICATION FOR CERTIFICATE OF DEMOLITION OR REMOVAL Application is hereby made For the issuance of a permit for the Demolition or Removal of a building or structure or part thereof, under Section 6 of Chapter 470. Acts of 1973, as amended, for the proposed work described below and on plans, drawings, or photographs accompanying this application. PLEASE SUBMIT FOUR (g) COPIES OF SITE PLAN AND PHOTOS ALONG WITH APPLICATION FORM AND ABUTTERS LIST. Address of proposed work: &- rJ • 7� Map/Lat # 1 1 3 b Owner(s): f 1 Phone e: AN applICAMns moat be submitted by owner or accompanied by letter from oowrwr approving submi Ion. Mailing address IC 7 ' �EWPGi �• � �/©r f Year built: Z, t, O Email: Preferred no5fication method: US Mail Email AgenUcontractor .t 0<f�L ` � �L ` y Phone e: J e';?C ` % �t�iQ Mailing Address. LCX��Cl//,A cam,�5 ® - Email:'3V/z45QfV')Cl//n x�-eaxrej'e rred notincationmethod: US Mail Y` Emad Description of Proposed Work SAO Signed (Owner or agent) Data > Photos (4 sets) showing all sides of building MUST accompany application > If building Is to be moved, give new location > If formation Is granted. Cealficate of Appropriateness appkadon is required it new location is W#M the Yarmouth OKH District Ownedcoritractodagerd is aware that a permit is required from the (wilding Departmeril. (Check other departments, also) > If application Is approved, approval is subject to a 10-day appeal period required by the Act. > This certificate is good for one year from approval date or upon date of expiration of Building Permt, whichever date shall be later For Committee Mjo onjv; Approved PtW Dale o u a b Amount %5'iW CashICK 0 _j 9 '11� Rcvd by� irk - 43 Days: ± 2! 1 aI- Date Signed i9MM Reasgn r denial. Signed: —pproved with mokfificaUoris Denied APPLICATION M TOWN OF YARMOUTH 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Telephone (508) 398-2231 Ext. 1292 Fax (509) 39"936 OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE 45 DAY TIMEFRAME 09OWN WAIVER AN 10 7026 Application #: 2 6- D 0 0 3 Old King's Highway Historic District Project Address: �7 � a*% Application Received Date: TLtol;u, 45 Day Decision Deadline: p12g12b Me, the undersigned owner, contractor, or agent, do hereby waive the 45-day timeframe for a determination on our application for a Certificate of Appropriateness/Demolition/Exemption by the Old King's Highway Historic District Committee for the following project: GV)I", 1 -*?bate: &f. ld�o'�©.��' X Signed Own Owner Contractor/Agent 26-.003 n'(!I � 01 TOWN OF YARMOUTH �D OLD KING'S HIGHWAY HISTORIC DISTRICT COMMITTEE AUG i U 7029 ABUTTERS' LIST Old Kings. 1-h9hway Applicant's (Owner) Name: "&Dr—+-)v Historic District Property Address/Location: Hearing Date: f Notices must be sent to the Applicant and abutters (including owners of land on any public or private street or way) who's property directly abuts or is across the street from the Applicant. vide thg Aaggagrs Tax ManLot numbers oft. The OKH Office will send out notices using the addresses as they appear on the most recent applicable tax list. Note: Instructions for obtaining the abutters Map and Lot numbers can be found on the Old Kmg's Highway Department page on the Town website: mm.yarmouth,ma.us Map Number Lot Number Applicant Information: Abutter Information: l(% 37 Lfa Or a1 '3 0 �{ L -3y lLagq t I � 4s•3 l y� 03 14pkagn -.1� 0 0 3 K 8 +-F H CID Go MM W T-1 W4 N OD 4 v4 Mw W MM od co �w co co ta m r m � °.�° el co ■ 00 M AVM Wbb3 NOS%d3)17IN co �• r�l H - �'� o 00 co, O Two N g G go t .�`1 IS RpPD��..v NORTH ID N� co ri ri n r Ln [V rN j �V L f- 4 7�q 4Rqp' L � Yl�y M O O ��LiC WDfiA��D AUG 1 D 7.07fi Old King', Highway Historic District Q 2 6— D0 03 P11199RMN AUG 1 0 71126 Old Kin, iighway Historic District 2 6- D 0 0 3 .54 � n - � q g� Z _� � � l lf) - �; , yn�,;1 /Lf);LO _ O N T I 1 O •V 4V (0 (n 7 o m "' a — mOo N � :5 I-- c o o Q AUG it 702i'i a jjr a � a $ 10 m ZO 'M ¢ 00 8 q R Old K�n,4' . 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