HomeMy WebLinkAbout0185 RIVERVIEW LANE - Health `RIVER VIEWLN'
CENTERVILL_E_ `�-(y4�1`m0�
_ =" For office use only
THET�� TOWN OF BARNSTABLE Received by
0 V, OFFICE OF
Date /,t,5-lq
Z DMUSTAn s BOARD OF HEALTH
� MAlR 0
°ems:eJ9' 367 MAIN STREET
ED MAY
HYANNIS, MASS.02601
VARIANCE REQUEST FORM
All variance requests must be submitted fifteen (15) days prior
to the scheduled Board of Health Meeting. ''
NAME OF APPLICANT .�TAC V EURMY AN S?UA(?T R14PP TEL.# 4--77 4-4-`� IIT
ADDRESS OF APPLICANT e O CARL 133 Aht Mo4V-A Re�
NAME OF OWNER OF PROPERTY TA C 14 F ta6Z M A 4,t
SUBDIVISION NAME RiVwt. Vi gUT' }4.Qi Mk S DATE APPROVED -/9'
ASSESSORS MAP & PARCEL NUMBER P IW A2 1 LOT SIZE 1.93 14C
A L 11-
LOCATION OF REQUEST
VARIANCE FROM REGULATION (List Regulation) ' o
eOriS+OZNC+I'0f1 OF aQw?� , 1pisPOs.4L. S` -Td12y►- WitA%/jL
REASON FOR VARIANCE (May attach letter if more space is needed)
PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING
VARIANCE REQUEST.
VARIANCE APPROVED
NOT APPROVED
REASON FOR DISAPROVAL
Ann Jane Eshbaugh, Chairman
Susan G. Rask
_Toseph C. Snow, M.D.
BOARD OF HEALTH
TOWN OF BARNSTABLE
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SHEET 1 OF,`