Carney, Alex

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❑ MODIFICATION ❑ EXEMPTION
Town of Oak Island I IV
CAMA Minor Permit Office
As authorized by the State of North Carolina
per the Coastal Area Management Act of 1974
Applicant
Adaess 8' 5� y
City 6red5L lle
Phone # (�+(.) z, 3 3q 4 o y
Authorized Agent
Type of Project
Description of Activity
Mo. 4AArP - 5A,
Notes or special
conditions:
Owner's
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"AINTENANCE AND REPAI
DC iCE1 VED
Permit # �GTON, NC
Date previous
permit issued MAY = 2005
Project Location Information
Street Address
,5�) J Ly.'3coc
Adj. Water Body 4t
AEC ❑ CS VOE ❑ HH ❑ IH
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LPO Signature
(owner or agent) Issuance date exp. Date
Island Development Services — 518 Yaupon Drive — Oak Island NC 28465 — 910-278-5024