Smith, Morgan

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❑ MODIFICATION M EXEMPT
Town of Oak Island
CAMA Minor Permit Office
As authorized by the State of North Carolina APR 18
per the Coastal Area Management Act of 1
Applicant
❑ MAINTENANCE AND REPAIR
Date pre of
20mit i e
DIVISION OF
Address 3 Wlp--
city (1 M a nA-a- 5 o36q
Phone # (6' QY -
Authorized
Type of Project
Description of Activity:
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Notes or special
conditions:
L`
Owner's Ndme (Print) J
Project Location Information
Street Address 6 o 3 k 3e✓g
OG.k 5,,1 r,r,c3,, i\t^. 2RLA lti"7-
Adj. Water Body
AEC ❑ CS ❑ OE ❑ HH ❑ IH
L15d Signature
y.SdS 12, 31-as
Issuance date exp. Date
Services - 518 Yaupon Drive - Oak Island NC 28465 - 910-278-5024

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