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HomeMy WebLinkAboutParrish, Dwight^,.—xi[=.?IZ_IO ❑ 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 ]PPE: ,?IZT P: r dd ❑ MAINTENANCE AND PAIRp/>' 1820 Permit # COq 0/ Date previous Op permit issued MgNA MFNT Applicant NameJJ ./;' T e!! . QiSI/ Address GG city Z�L Phone #-'&34 Authorized Agen a /7�Q `44f6 Type of Project Des ription of Activity �5',Fs o/?P- Y, 2eAEZ Notes or special conditions: Owner's IWme(Pont) or agent) Project Location Information Street Address%O Adj. Water Body AEC ❑ CS ❑ OE ❑ HH ❑ IH J, //,, r L 0 Signature 4- //- os /2-3/-0 5 Issuance date exp. Date Oak Island Development Services - 518 Yaupon Drive - Oak Island NC 28465 - 910-278-5024