Zink, Tim

❑ 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 7in'd z/IAJ<
Address Si// PlICES GeEEK DR
City �occ Po�Tr ,JG 29461
Phone # (g10) 457. 9943
Authorized
Type of Project
Description of Activity:
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5i
Gl11t/�lals 'books
Roof 5W1a&&5
Notes or special
conditions:
✓N% P!n/
Owner's _N a/me, (Print)
Signature' (owner or agent)
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: 30 "": ',=.r
td MAINTENANCE IE HV
Permit #
Date previous ED
permit issued l iSIGnr OF
COASTAL MANAGEMENT
Project Location Information
Adj. Water Body
AEC ❑ CS OE ❑ HH ❑ IH
LPO Signature
"q•,? y dS 12 3/ dS
Issuance date exp. Date
Oak Island Development Services — 518 Yaupon Drive — Oak Island NC 28465 — 910-278-5024