App# 18-E120 a
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..f c TOWN OF YARMOUTH
r� , . 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4451
VVpp�� Telephone(508)398-2231 Ext. 1292-Fax(508)398-0836
RSC, OCD'KING'S HIGHWAY HISTORIC DISTRICT COMI�,T�
NOV 052019 RG0..EIvE�
TOAPPLICATION FOR OCT 31 2018
SOUTH Y RM UTH, CERTIFICATE OF EXEMPTION
MA YARMOUTH
Application is hereby made for the issuance of a Certificate of Exemption under Sections 6 neltbitKitnfigeitaY
Acts of 1973, as amended, for the proposed work as described below and on plans, drawings, or photographs
accompanying this application.
Type or print legibly: / n
Address of proposed work: /0Z rat&age /n Yoe!v WV{h Pok Map/Lot# /a6//37
owne s):tOkOQ2Oma. 16jliv6q aka /ll�'aW9n1 Phi/9)150r 54C1/V.. Phone#: PB-?39 -39 ' t
All applications must be submitted by/owner or iEcompa'niied by letter from owner approving submittal of application.
Mailing address: /0,2. FLGe 4txn/ ,.[n , %/IaliceIA fief- Year built:/ /9P./
Email: q Preferred notification method: t ltPhone Email
Agent/Contractor.. 77u 52 C anyaN%BS Phone#: St5"1/32' f-ZZG'
Mailing Address: P 0• bk Ps- //Acta% /13%fi
Email: 0.1-P(,2 0 t-tcR_ (.56cmHlpolitS . C°14, Preferred notification method: Phone // Email
Description/� of Proposed Work(Additionallpages may be attached if necessary): / n�
f Ecucve ,,s�� lams„„ rt t7 i,ea wA// (fatten ,$ &"fl e) 0)44 &/'?roil co#//
Gons-iw 6c( to TA (mV hlocgs (9 k B'X/!`) ;hcr Ailed OVte /toncette „�boNk
amvfeeted wifh Pew F>,�laac{ T-eld Sakti_ . Sea PZ�7acd p]aS1a( on n
a{(irlted pl c vae „sub/nil-1d (444 4145 afflcatfiett . •
Signed(owner or agent): r L- Date: /0 ' 3/ - /g
> Owner/contractor/agent is aware that a permit may be required from the Building Department.(Check other departments,also.)
> This certificate is good for one year from approval date or upon date of expiration of Building Permit,whichever date shall be later.
For Committee use only: .
Date: /0"3// r Approved _Approved with changes APPROVED
Denied
Amount 00 Reason for denial: APPROVE®
CasIV � _ f,f
Rcvd by: �a/_,(-/� " YARMUU IliCK#:G
OLD KINNOV R's HIGHWAY2 .,
Date Signed:///x/2dir Signed:Ca;er,...4):-- �
APPLICATION#: /g LT/ad
V5.2017 'r
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Gei a i l Swavi Osev<swavi.osev@thesecompanies.com>
ytoosle
To replacement of the falling retaining wall
1 message -
Lakpa<bhutialakpa@hotmail.com> Tue,Oct 30,2018 at 3:32 PM
To:"swavi.osev@theSEcompanies.com"<swavi.osev@thesecompanies.com>
To
The s&e company
My name is Ngawang P Sherpa
My address is 102 freeboard lane
Yarmouth Port ma 02675
Can you please submit the application for the replacement of the falling retaining walls at the end of our driveway as shown on the picture attached with the application.
Thank you
Ngawang Phuntsok sherpa
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