Soucy, Paul

30
❑ 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
P: 7: :?ZIT P: 30 ": '.?I
IOTAAINTENANCE AND REPAIR!
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Permit # 144
Date previou
permit issued
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COASTALMANAGEMENT
Applicant Name w
Address 3Do/�ZLrc� gQ
City ( � S l.4ixc( ,� V,!±
Phone # O 7
Authorized Agent
Type of Project
Description of Activity:
Notes or special
conditions:
4 It
Owner's Name (Print)
J
Signature (owner o nt)
Project Location Information
Street Address 13 4Joy, Zz—,tc'
Adj. Water Bodyd2&4g4&�Ze Ol'x ,4,v
AEC ❑ CS 9'0E ❑ HH ❑ IH
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LPO Signature
S 6 a S /2 ?/ cr S
Issuance date exp. Date
Oak Island Development Services — 518 Yaupon Drive — Oak Island NC 28465 — 910-278-5024