Sparacino, Catarina

�ALTTAL TTZ_3 :310
❑ 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 Name�oa_� r
Address /0,96-0 0, ✓e .vl P /
City Sllr�/ S�r/l,; s Al Z0g02
,
Phone # (O/) 6`/9 -a/ yk,
Authorized Agent
Type of Project
Description of Activity:
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Notes or special
conditions:
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OWner's-t ame
Signature (owner or agent)
gMAINTENANCEPA4R�'�'� " f
Permit #
Date previous
permit issued nw1QI0N OF
COASTAL MANAGEMENT
Project Location Information
Street Address T 7Z 7 ds.
/'%4 k d. Nt' zg`165-
Adj. Water Body AJ/a,,,, ILc
AEC ❑ CS �E ❑ HH ❑ IH
Issuance date
exp. Date
Oak Island Development Services — 518 Yaupon Drive — Oak