HomeMy WebLinkAbout2002 May 21 - Transfer of Water Service Notice . ... .'".."., ` �••••• U8[B:4/Z�J/ZUUZ I�me:10:36:16 AM Page 3 of 9
04-29-02 09:13am From-YARIu�UTH WATER DEPT X +5087717998 T-118 P.03 F-315
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WATER SEAVICE TRANSF�R �� ���
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�� YARMOU�H WATER DEPARTMENT � � _ � ��
p'1�1 YARMOUTH - MASSACHUSETTS � ' :v 4...�
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SERVICE NO. 44�►0 DATE OF TRANSFER �' 1� .2402
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TO THE TOWN OF YARMt]UTH WAT�R DEPARTMENT
I herehy assume ownership of the properCy identified as,
_ ___.
_ Map � ��'L� '.Parcel. 0 '°� � Bo�cse/Un�.t � _ ,961 Street Route 28
Fozmerly Own by Brentwood Rsalzy Trus� - .7 Siddharth _ _
New Ownex
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_ ��FPe or Print)
and agree to comply with aIl Federal, State and Local Laws, Ru1es and Segul�tlons as
they pertain Co the use of the Pu611c Water Supply. �
�urther, as stated in Chapeer 225-18 of the Town of Yarmouth Code/Water Department
Ru�es and Regulations:
THE PRQPER'Y'Y OWNER SHALL BE RESPQNS�BLE FOR THE PAYMENT O�' ALL WATER BiLLS.
WH�N A PROP,ERTY, WHICH USES MUNICIPAL WATER IS SOLD� I'I' IS THE RESP�NSIHILIT}
OF THE NEW PRGPERTY OWNER TQ COMPLE7'E A WATER SERVICE TRANSFER FORM. FAILURF
TO CqMPLExE TH� WATBR SERVI�E TR,ANSFER FORM WILL N0�' RELIEVE THE NEW PROPERT�
OWNER OF x'HE R�SPONSIBILITY FOR PAYMENT OF ALL CURR�NT OIt OUTSTANDING WATER
BILLS. '
✓ � �� �� c�v � �'
Signed 6y:
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� (New Owner) �j��(J` 9��`�� �k�
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�111ing Address �e i � • �l� / f'
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Typ� or Print)
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aeturn to: Yarmouth Waeer Aepartm�nt Contact �i Aay (�)_
99 Buck Tsiand Road
weet Yarmouth, MA 42673 �v�. ��)__
Reviged 7/13/00