Extension Request Town of Barnstable 40JX0P �
Planning & Development Department M
41NI-1
SAtiNBrAMM •' Old King's Highway Historic District Committee
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200 Main Street, Hyannis, MA 02601
www.townofbarnstable.us/planninganddevelopment GFS"
Elizabeth Jenkins,AICP
Director
REQUEST FOR EXTENSION
Applicant (s) W1�N an, S-b nc D o w
Uik GolasteIn
Address of proposed project (, siwf�t ROA
G AVAaltAl a An p 0 2L3'�
Original Approval Date Qq - 2,1
One Year Extension
Approved on
Applicant (s) Signature
Date
Approval Signature, OKH
Paul Richard,Chair,Old King's Highway Historic District Committee
Date
Grayce Rogers,Administrative Assistant
Phone 508.862.4787,Rrayice.rope rs(a)town.barnstable.ma.us