HomeMy WebLinkAboutRecorded Deed Restriction and Application : .
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o NOTICE OF DELD RESTRICTION
� RESIDENTIAL
�,� Notice is hereby given of the applicability of the Town of Yarmouth Health Department for a deed
o resfixiction,to 110 Breezy Point Road, shown in Town Assessors Book dated 2412,Map 034,Parcel 229.
As Deed is recorded at the Bamstable County Registry of Deeds,on the Deed Book 26744,Page 283.
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� Containing 18,340 square feet of land,more ar less and being showtx as Lot 45 on plan entitled"Property '
� of George VN.Woad and Marion P.Wood,Plan of Land—South Yarmouth,Mass.,as surveyed for L.
ar Melva Jones,scale 1"=80',October 1941,Whitney and Bassett,Arclutects and Engineers,Hyannis,
� Mass.,"which plan is duly recorded with Barnstable County Registry of Deeds in P1an Book 72,Page 51.
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oThe engineered plan prepared.by_Sweetser Engineering. ,dated_Rev March 19,2016
� approved by the Healtk�Department on May 6,2d16 .2016,requires a maximum,not '
� Eo exceed:
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'� (1) the number of bedrooms not to exceed two(2)per design restrictions, '
ry (a) Title 5, Section I5.203, Sevvage F1ow Design Criteria
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NY�rmouth Health Degartment: '
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ABruce Murphy,Health Direct r, .,C.H.O,,M.P.H. Date: �
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� Owner/Representative:
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� I h�ve read and fiilly understand the condiNous of the Rbove restrictions and accept them �
as written:
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Robert P. Pencarsta Owner Date: �
3 Denson Road �
Lincoln,RI 02865 �
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MAY 2 4 2016
HEALTH DEPT
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Executed as a sealed instrument this�day of� 2016.
���'�/' �_�+E��/� �
Robert P.Pencarski
C�MMONV4�EAI.TH OF MASSACH[JSETTS
Barnstable,ss � ! $'� 2016
Before me the undersigned nof.ary public,personally appeared ROBERT P.PENCARSKI,proved to me
through satisfactory evidence of identification,which uvas�/�' p(.,_,
to be the persons whose names are signed on the preceding or attached docutnent and acknowledged to
me that th�y signed it voluntarily for its stated purpos�and�vho swore or aff'u�nned to me that the contents
of the donument are truthful and accur•ate to the best of his knowledge and belief. �
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BARNSTABt.� REC�ISTR1f OFflEEDS
1Qhn �, Meade, Re�ister
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� °� ` TOWN OF YARMOUTH Boardof
� Health
= 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 -
4w�� Telephone(508)398-2231,ext. 1241 Health
Fax(508)760-3472 Division ,
APPLICATION FOR TITLE 5 DEED RESTRICTION
The information requested below must be accurate and completed in full to ensure the deed restriction
can be completed properly and in a timely manner.
1. Town of Yarmouth Assessor's Book(most current):
Map 34 Lot 229 Address 110 Breezv Point Road
2. The property deed is recorded at the Barnstable County Registry of Deeds in
Deed Book 26704,Page 283 or Land Court Certificate
3. The lot indicated above is shown on a plan of land entitled: pro e�rt�r of George W. & Marian
P. Wood, Plan of Land -So�th Yarmouth Maas, ac SurvP�d for L MP���� -Innaa dated October 1941
The plan of land for the lot is recorded at the Barnstable County Registry of Deeds in Plan
Book 72 Page 51 or Land Court Plan
4. The engineered septic plan has been prepared by Sweetser Engineering, Terence M. Hayes, R.S.
and dated March 19. 2016 '�
5. Board of Health approval date '
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6. The number of bedrooms is restricted to 2 '
7. Owner Name: Robert P. Pencarski
Address: 3 Denson Road ''
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Lincoln RI 02865 �
The required information supplied to this department for the application of a Title 5 Deed �
Restriction is correct as shown above.
Applicant Date I
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OS/20/10 '
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