Schild, Raymond

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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
Applicant Name
Address
CityTl r/,iieC5`�
Phone #
Authorized Agent
of Project
iption of Activity:
or special
(owner or agent)
❑ MAINTENANCE AND REPAIR
Permit #
Date permit
isvious �
permit ssued
Project Location Information
Street Address 1 / jiJ
Adj. Water
AEC ❑ CSHH ❑ IH
epoJ
Issncu
lP- 3//oS
e to
Oak Island Development Services — 518 Yaupon Drive — Oak Island NC 28465 — 910-278-5024