Admin review 4.23.2024 OVY
CONSERVATION
0 �'`C y OFFICE
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Yarmouth Conservation Commission
Administrative Review
Applicant Information:
Name:
Mailing Address:
Phone: Email:m.kerwinkelly@gmail.com
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 pfwork:146 Mayflower Terrace
Street Name and Number
Signature:
Detailed Description and Reason for Proposed Work: Removal of two pitch pine trees,
removal and replacement of ornamental plantings in front,and bittersweet vines on south side of house
Closest Distance to Resource Area: 50 feet
Proposed Start Date:
Company to do Work:
Name:
Address:
Phone: Email:
Administrative Approval:THIS �p fTie),ce Wt 4, I .S„ from c4-Alckwi
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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