Willis, Albert

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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 Name W
Address_. a�y E, 6J\ .
City Or,I(I A)(
Phone #(Zid g 79-�Z/d7
Authorized Agent GG,( C
Type of Project
Description of Activity:
Notes or special
conditions:
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Owner's Name (Pr'
Signature (owner or agent)
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dFAA1NTENANCE AND REPAIR
Permit #
Date previous
permit issued
Project Location Information
Street Address Eck
Day TS �a A rvc
Adj. Water Body A4(aA�('c ocf4vl
AEC ❑ CS 19"OE ❑ HH ❑ IH
LPO Signature
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Issuance date
2 , 3,f- d5-
exp. Date
Oak Island Development Services - 518 Yaupon Drive - Oak Island NC 28465 - 910-278-5024