Leonard, Danny

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❑ MODIFICATION AXEMPTION
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, 0 NA,,
Address 29,.
City /4 1s/«./ Ay -
Phone # 2 7-J - . y 39'
Authorized Agent
Type of Project
Description of Activity:
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Notes or special
conditions:
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Owner's Name (Print)
ignore (owner or agent)
P4AINTENANCE AND REPAIR �c
Permit # H V F
Date previous
permit issued JA R 01,1�0
DIVISION OF
Project
Street Address //o S'
�7,.,�
Adj. Water Body .-::!? zy
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AEC ❑ CS K-OE ❑ HH ❑ IH
LPO Signature
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Issuance date exp. Date
Oak Island Development Services — 518 Yaupon Drive — Oak Island NC 28465 — 910-278-5024