23-E058 100 Mayflower Terr COETOWN OF YARMOUTH
le 1146 ROUTC 26, SouTH yARmc)tjIm, mA 02 - :51
TefephQne (508) 31365 2231 Fxt. 1292-Fax a98 -0836
OLD 19N 'S HIGHWAY HISTORIC DISTPJCT COMPfirrTEE
APPLICATION FOR
ERTIFICATE OF EXEMPTION
Application Is hey made for tho i$;$uMce Of a Certfficala of Zxem 06on -undw DCtian:5 6 and 7 -of Chaptof 47Q of
Aum of 1973. as amendM. for tJ a prOPbse�d utork as describod flow and on plains,, drawings. or phoWgraphs
accampanyinn this appldeation,
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Date Signed- --
43 2017
A d -- Approvad w iiM changes Denied
Resson tGr d6nial
Signed-
APPLICATI0N 9.