Honeycutt, James

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Q 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 Jhm'ej AD1)fpt,��rr
Address cklyq h)ht re !ZD
City f1' lnl6 N2 Ale z S /07
Phone # (70) leg Zci �, Z
Authorized
Type of Project
Description of Activity:
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Notes or special
conditions:
NO TlNd eW-se,
O r22 nett e pr3t�
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l�a.er�
I
140A)eJ euri
Owner's Name (Print)
Signature w e or agent)
❑ MAINTENANCE
Permit #.
Date ore'
R�.rI
EHVE
-2-L2005
permit issued Q1141-� OF
COASTAL MANAGEMENT
Project Location Information
Street Address .3(o t q W eS-r (SePC
IC rSCAND nJC.
Adj. Water Body ZF}rvhG
AEC ❑ CS VOE ❑ HH ❑ IH
CPO 8ignature
/,!l-oS 6-S/-0S
Issuance date exp. Date
Oak Island Development Services - 518 Yaupon Drive - Oak Island NC 28465 - 910-278-5024