HomeMy WebLinkAboutRecorded Deed Restriction and Application Do�= � :�77� 169 11-15-2��? 1 =23
O� Y��� u O BA��STABLE LAWD GOURT REGISTRY
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B O A R D O F H E A L T H
G� C� C� !� �? M � D
NOT[CE OF DEED RESTRICTION NOU p �5 20�J7
RESIDENTIAL
HEALTH D�PT.
Nolicc is hcrcby �ivcn of thc applicability of thc Town of Yarmouth Board of Hcallh Dcpartmcnt for a dccd
restriclion,to _80 Coolid�c Road ,sho�m in Town Asscssors Book datcd 2UU7,Map 63,parccl 91 . As Dccd
is rccordcd in lhc Land Courl al lhc Barnslablc County Rcgistry of Dccds on lhc Dccd Documcnt 4t>9709 and
Ccrtilicalc 1 I SG7� .
As plan ol'land is rccordcd in lhc Land Courl al lhc Barnslablc County Rcgislry ol'Dccds,on a subdivision pl�n
liticd Subdivision Plan datcd March 19, 1970 drawn by Yunits En�inccring Companv Inc Survcyors Ptan
25x23 l. Lo�9x .
Thc cnginccrcd plan prcparcd by_E.A.S. Survcv. Inc. ,dalcd Rcviscd Novcmbcr� 2007,approvcd by lhc
Hcallh Dcparlmcnl on Novcmbcr 8. 20U7 ,rcquires a marimum,not lo cxcccd:
(1) lhc numbcr ol'bcdrooms nol lo cxcccd T�vo ( 2 );
per dcsign reslriclions,Tillc V, Scclion 1�.214, Nilrogcn Loading Limilalions,
Zonc I1 Arcas of Wcllhcad Conlribulion.
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cc G -Murphy, Hcal Di tor, R.S.,C.H.O., MPH Dalc
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Charlcs H. Kcllihcr,o�vncr Datc '
ti0 Coolidgc Road, Wcsl Yarmouth, MA 02fi73
COMMONWEALTH OF MASSACHUSETTS
Barnstable Cuunty
On this the da of Np 'v rn ' . ��C'
Y 1� , 2007, before me I the '
undersigned otary Public, personally appeared proved to me
through satisfactory evidence identity, which was�e�e �,�/pW� 7� �yte to be the '
person(�dj whose name� is signed on this preceding or attached document, and acknowledged to
me that he/she signed rt voluntarily for its stated purpose(�. �
�GG�t� `
Notary Public �
My Commission expires: D3_a�j� a D/V �
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� �y 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 026644451
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'���aPORATEO�b��� Telephone (508} 398-2231,Ext. 241 — Faac (508) '760-3472
B O A R D O F H E A L T H
November 9, 2007
Mr. Chaxles Kelliher
80 Coolidge Road
West Yarmouth, MA 02673
RE: Two Bedroom Deed Restriction for 80 Coolidge Road,West Yarmouth, MA
Dear Mr. i er: ����'�'�
Please find enclosed the Two Bedroom Deed Restriction for the above address which is required
as part of the septic system approval process. The Deed Restriction must be signed and dated by
the owner(s) or legal designee in front of a notary. There are several notaries available at
Yarmouth Town Ha11, if needed. Once the restriction is signed and notarized, please make a copy
and have the original restriction recorded and the copy stamped with the new Registry recording
information at the Barnstable County Registry of Deeds, Route 6A, Barnstable. The copy of the
stamped Restriction must then be returned to the Health Department as proof of the recording
prior to issuance of the Title V Certificate of Compliance.
If there are any further questions, please contact this of�ce at 508-398-2231 X241. Thank you
for your prompt attention.
Sincerely,
.
y L. on Hone, R.S.
Assistant Health Director '
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� :�, 1146 ROUTE 28 SOi J'I'H YARMOUTH MASSACHUSETTS 02664-4451
MAT7ACHEES
� ��+oORAED�619�� Telephone (508) 398-2231, Ext. 241 — Fax(508)398-2365
BOARD OF HEALTH
APPLICATION FOR TITLE V 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 ma.nner.
1. Town of Yarmouth Assessor's Book(most current}: �,
Map +�,3 Lot��Address_� ���1�„�',�c�� �' -
2. The property deed is recorded at the Bar County Registry o Deeds in
Deed Book �-- ,Page r Land Co ertificate . 70�`�(�
, c . ��Sb�S'" � �bq7oq
3. The lot indicated above is shown on a p n o and entitled: c'?5�Sc�3 � , l`� �7C1
� 'C°�'Y'a C.�w�7f" , da.ted �p
The plan of land for the lot is recorded at the Barnstable County Registry of Deeds in Plan
Book Page or Land Court Plan_o'?S$Z3 p( �. �.t ��
4. The engineered septic plan has been prepared by
and dated
5. Board of Health approval date .
6. The number of bedrooms is restricted to ,� '
7. Owner Name: C��rl�S N „ � �"
.��.1����r
Address: g� �i o��� '
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The required information suppfied to this department for the application of a Title V Deed (
Restriction is correct as shown above. �
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Applicant �
Date ��
5/02
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