Extension Request Town of Barnstable
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Planning & Development Department 9�
�� �• A Old Kings Highway Historic District Committee
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200 Main Street, Hyannis, MA 02601
www.townofbarnstable.us/pianninganddeveiopment
Elizabeth Jenkins,AiCP
Director
REQUEST FOR EXTENSION
Applicant (s) ( {Pk c( ` 0 P ILI �,JS
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Address of proposed project 1
Original Approval Date
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 508.852.4787,grayce.rogers@town.barnstable.ma-US
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