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I <br /> (REv.:-gnY 1987) <br /> DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERING';rr' �} ' <br /> DIVISION OF WETLANDS AND WATERWAYS REGULATION <br /> WATERWAYS REGULATION PROGRAM <br /> MUNICIPAL PLANNING BOARD NOTIFICATION" <br /> APPLICATION FORM 4 <br /> 1 <br /> WATERWAYS FILE NO. <br /> NAME OF APPLICANT Charles Talanian <br /> PROJECT STREET ADDRESS Lot 9, Ockway Bay Road is <br /> CITY/TOWN Mashpee <br /> is <br /> Ockwa Ba <br /> WATERWAY y y <br /> (To be completed by Municipal Clerk or Appropriate Municipal Official) <br /> IHEREBY CERTIFY THAT A COPY OF THE COMPLETED WATERWAYS LICENSE APPLICAT <br /> ND PLANS DESCRIBED ABOVE WAS SUBMITTED BY THE APPLICANT TO THE MUNICIPA <br /> PLANNING BOARD ONc,k2)%A P <br /> DATE <br /> IGNATURE OF MUNICIPAL OFFICIAL_a <br /> ITLE i ow,i CLEXAc <br /> ITY/TOWN of <br /> ATE 3 � cl 1-6 <br /> PLEASE TYPE OR CLEARLY PRINT ALL INFORMATION <br /> ITICE TO APPLICANT: <br /> HIS FORM MUST BE SUMBITTED ALONG WITH THE ORIGINAL APPLICATION MATERIAL <br /> F THE FORM CANNOT BE EXECUTED BY THE APPROPRIATE MUNICIPAL OFFICIAL AT <br /> IME OF DELIVERY, THE APPLICANT SHOULD WAIT UNTIL HE RELIEVES THE EXECUT! <br /> OHM BEFORE SUMITTING THE COMPLETED APPLICATION PACKAGE TO DEQE. <br />