HomeMy WebLinkAboutRevised-Plan-Request---Form-R
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Rep
Plea
with
requ
Encl
appl
Q\Conserv\DEPF
3- ______ O
oject Locatio
Why is a rev
__________
Is the revisio
If a revised
Does the rev
Submit prev
color marku
What parts o
__________
What parts o
__________
Are complet
_________
Have specia
certified fou
Are sedimen
___________
presentative
ase submit: Co
h colored sta
uested revisio
lose a $50 che
lication, pleas
Office: 508
ORMS\Form R.do
OOC expira
on ________
vised plan be
___________
on proposed
site plan is b
vised site pla
viously appro
up indicating
of project ar
___________
of project ar
___________
ted parts of p
___________
al conditions
undation plan
nt controls in
___________
e’s Signatur
over letter, th
mp and orig
ons with colo
ck made paya
e add the app
8-862-4093
oc
ation date: _
__________
eing submitt
___________
d or as-built ?
being submit
an have an o
oved plan cop
g requested re
e completed
___________
e not comple
___________
project in co
___________
s been met to
n)? _______
n good work
___________
re
is form, the p
inal signatur
ored stamp a
able to the Tow
ropriate activ
T
Con
Mond
th
Updated 09/01
Revi
__________
___________
ted? _______
___________
? _________
tted, what is
original stam
pies along wi
evisions.)
d? ________
___________
eted?
___________
ompliance w
__________
o date (e.g., F
___________
king conditio
___________
reviously app
re or two (2)
and original s
wn of Barnsta
vity fee.
Town o
nservati
230
Hyannis Ma
Submission de
day NOON th
he next 3:00 p.
1/2022
sed Plan R
_ Applicant
__________
__________
__________
__________
its revision
mp, signature
ith the propo
___________
__________
__________
with the appro
___________
Forms A & B
__________
on? _______
__
proved plan
original revi
signature, an
able. If this re
of Barns
ion Com
South Stree
assachusetts
eadline is
he week before
m. hearing
Request
t Name:____
______ Map
___________
___________
___________
date? _____
, and initials
osed revised
___________
___________
___________
oved plan an
__________
B, photograp
___________
___________
__________
Date
copy along w
ised plans wi
nd 8 collated s
evision include
stable
mmissio
et
s 02601
E-mail: con
e
P
__________
p: ______ P
___________
__________
__________
__________
s in the revis
plan or a rev
___________
__________
__________
nd Order of C
___________
phs of undis
__________
__________
__________
with two (2)
ith color mar
sets (there sho
es activities no
on
nservation@to
F
Page 1 of 1
___________
Parcel: ____
___________
___________
___________
___________
sion block? _
vised plan wi
___________
___________
___________
Conditions?
__________
sturbed buffe
___________
___________
___________
proposed rev
rkup indicat
uld be 9 pack
ot part of the o
own.barnstab
Form R
__
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ith
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er,
_
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_
vised plans
ing
ets total).
original
le.ma.us
R