Dank, Milton

=0,: X�--.6. ?IIN 3:
❑ 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
E: ?ZIT P: 7
MAINTENANCE AND REPAIR
Permit# RECEIVED
Date previous N, NC
permit issued MAY 2 5
Applicant Name 0 M t —�_U'J l�ftrlJti
Address • 0, 8- ��'�'`�' A `
City � t! —r C CAI,. 1y (-
Phone A16) )-771, ZI(-9
Authorized Agent
Type of Project
Description of Activity
r_ I;ahtn,n, nlr�n�c-e
Notes or special
conditions:
t4I I J)+-V
Ownpr's Nam (Print)
(owner or agent)
Project Location Information Street Address oacip © ('earn IC
Adj. Water Body
AEC ❑ CS Id'C)E ❑ HH ❑ IH
IJAl
LPO ignature
4-/7,0<, /2- 3/ GS
Issuance date exp. Date
Oak Island Development Services — 518 Yaupon Drive — Oak Island NC 28465 — 910-278-5024