HomeMy WebLinkAbout0072 BAYBERRY LANE - Health (3) `7a Biarbierrj Z-c�P?e
For of f tce use OtuY
TOWN OF BARNSTABLE Received by
OFFICE OF Date
• L ; BOARD OF HEALTH .
rrua .. VW ,22�
moo 039. `{a 367 MAIN STREET
MA NYANNIS.MASS.02601. •.
VARIANCE REQUEST FORM
All variance requests must be submitted fifteen (15) days prior
to the scheduled Board of Health Meeting. /
p TEL.� `f'2, �S Ssq
NAME OF,
APPLICANT I� ���
ADDRESS OF APPLICANT 2 R
NAME oF. OWNER OF PROPERTY S
DATE APPROVED
SUBDIVISION NAME
pp C�1 Z SIZE. . a �02 ft�RES
ASSESSORS..MAP A PARCEL NUMBER. O LOT.
6� F
f
LOCATION OF .REQUEST S
VARIANCE FROM REGULATION (List Regulation)
uNO�l.' �gov n1 /� Fv � l�+�y ►1 l'N6PEG%/D rU FxTEAJ o�
r�E nl n j N t-r v P� e-
ASON FOR VARIANCE (may attach letteA.R mo a space is needd)
L�nJS fo p. t�Gmd UT
%D �E c1S�P� f0f ���5'� fvT'6-
/l 7T#,P R�Gj 1, R y m€n/T
V A S v T o oc,o of s d F vE G f�v 7' f— �`�} r�✓✓►E n(
A s . r3 ' v rJ M y �Trg �<0 al o N c T t .c!F c r ti - 'w's�91
•.. t '7' ��� L Tq r-�E 'r o,��c u T dvl r n �t �V r,- . T0 c9 5 t l
PLAN POUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING
VARIANCE REQUEST.
VARIANCE APPROVED
NOT APPROVED
REASON FOR DISAPROVAL
rL
n
- J
. man
au h Chair
• Ann Jane Eshb g ,
Susan G. Ras
APR
Joseph C. Snow, M.D.
BOARD OF HEALTH
TOWN OF BARNSTABLE