Barwick, Allan

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❑ MODIFICATION ❑ EXEMPTION
Town of Oak Island
CAMA Minor Permit Office
As authorized by the State of North Carolina
per the Coastal Area Management Act of 1974
Applicant
Address/&F. /Sr:ti
City (JcLc TSIc�t
Phone # (761t S07 - O 4tG
Authorized Agent
Type of Project
Description of Activity:
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Notes or special
conditions:
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Owner's Name (Print)
Signature (owner or agent)
YII AINTENANCE At I& � I�Q;
Permit # +�
Date previous
permit issued
OF
COASTAL IMAONAGGEMENT
Project Location Information
Street Address
toa- I< .Ts I a►.d //N.e-,
Adj. Water Body 411&4 f C oce,.,.
AEC ❑ CS i1wE ❑ HH ❑ IH
LP Signature
l,iA.es /•-?o-6
Issuance date exp. Date
Oak Island Development Services — 518 Yaupon Drive — Oak Island NC 28465 — 910-278-5024