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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
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❑ MAINTENANCE AND PAIRp/>' 1820
Permit # COq 0/
Date previous
Op
permit issued MgNA
MFNT
Applicant NameJJ
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Address GG
city Z�L
Phone #-'&34
Authorized Agen
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Type of Project
Des ription of Activity
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Notes or special
conditions:
Owner's IWme(Pont)
or agent)
Project Location Information
Street Address%O
Adj. Water Body
AEC ❑ CS ❑ OE ❑ HH ❑ IH
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L 0 Signature
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Issuance date exp. Date
Oak Island Development Services - 518 Yaupon Drive - Oak Island NC 28465 - 910-278-5024