Gabriel, Bob

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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
F E: ; rYxw P: l� rR'-T K
M MAINTENANCE AN fR� I VE
Permit # 2
Date previous
permit issued N OF
OASTALMANAGEMENT
Address //Cv S,
City MovfeSu'
Phone # ( )
Authorized
Type of Project
Description of Activity:
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Notes or special
conditions:
Owner's Name (Print)
b,,- Y A-16 �-,Lj
Signature (owner or agent)
Project Location Information
Street Address ,�96/r) G✓PSf nt
Adj. Water Body
AEC ❑ CS ❑ OE ❑ HH ❑ IH
LPO Signature
,2,-7,as (,-- 'y
Issuance date exp. Date
Oak Island Development Services — 518 Yaupon Drive — Oak Island NC 28465 — 910-278-5024