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Planning
Mullin Rule Certification (GL c. 39 Sec. 23D)
Board
Let the record show that the applicant herein named gives up his /her right of appeal related to the executil;5
of this document:
Applicant (or representative)
Pursuant to G.L. c. 39, § 23D, the undersigned member of a board, committee or commission of the Town
of Nantucket hereby certifies that he or she has examined all of the evidence received by the said board,
committee or commission at the one session of its adjudicatory hearing on the matter identified below which
the undersigned member failed to attend, and that such evidence included an audio or video recording of the
missed session or a transcript thereof. This Certification shall be part of the record of the hearing.
Member Name: g i CY l a t I J. 0, rv, �---
Board, Committee or Commission: �'�� q rfa Q'[ � 'S
Subject Subject Matter of Hearing: e C UY (�l Vi�� S 0.C-➢/LW'S Pk `k
Date of Missed Session: k I Z I l2
Signed under the gins and penalties of perjury this -L day of -"( , 20L�!
Si atur / fl LYNELL D. VOLLANS
Notary Public
Commonwealth of Massachusetts
My Commission Expires
Decen :r 28, 2018
Nantucket Planning Board ■ 2 Fairgrounds Road ■ Nantucket ■ MA ■ 02554 ■ (508) 228 -7233