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Recorded Deed Restriction and Application� E11-; '?''�'�"9'1 F':g 1. r� ;=3-'�-1�-��3 ' O��,Y,� i Bi'—��r-2�_�16 � 1 1 = 1'�'�c�. • �,, TOWN OF YARMOUTH ' o � C "" �,' 1146 ROUTE 28,SOUTA YARMOUTH,MASSACHUSETTS 02664-24451 ��j'4+w.■s++� � Telephone(508)398-2231 ext. 1240, Fax(508)760-3472 ; BOARD OF HEALTH ; NOTICE OF DEED RESTRICTION RESIDENTIAL � Notice is hereby given of the applicability of the Town of Yarmouth Health Department for a deed restriction, to 394A North Dennis Road , shown in Town Assessors Book dated 2016 , Map 136, Parcel 98_ As Deed is recorded at the Barnstable County Registry of Deeds, on the Deed Book 29167 , Page 186 . � � o As plan of land is recorded at the Barnstable County Registry of Deeds on a subdivision plan � titled "Subdivision Plan C & C Heights Yarmouth MA Herbert C Chase Owner" Lot 4 � � dated August 21, 2016, and recorded on the Plan Book 107 Page 117. � � �° The engineered plan prepared by En ineering Works, Inc. , dated November 25, 2015, .� Revised Julv 1 l, 2016 approved by the Health Department on July 12, 2016 , requires a � maximum, not to exceed: i Q � � z (1) the number of bedrooms not to exceed Two (2 �per design restrictions, � (a) Title 5, Section 15.214,Nitrogen Loading Limitations I � I � � U O '� Yarmouth Health Department: � � � � �a'--� � �' �"' Bruce G. Murphy, He lth irector, R.S., C.H.O. Date � � � � N o Owner/Representative: 0 A� � I have read and fully understand the conditions of the above restrictions Q and accept them as written: � U � 1 a� �, � akeby Development, Inc. Date ,� Pamela W. Barter, President/Treasurer ,� 2 Jillson Way � East Sandwich, MA 02537 � BARNSTABLE REGISTRY OF DEEaS ` �QhA F1 M��d�� Re�ister 1 � •��''���, TOWN OF YARMOUTH �' o C � ""' 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 � �y�� Telephone(508)39&2231 ex� 1240, Fax(508)760-3472 j BOARD OF HEALTH I July 12, 2016 " � Wakeby Development, Inc. Pamela W. Barter I 2 Jillson Way I East Sandwich,MA 02537 � RE: Two Bedroom Deed Restriction 394A North Dennis Road,Yarmouth, MA Dear Ms. Barter: Please find enclosed the Two Bedroom Deed Restriction which is required as part of the septic system approval process for the replacement of the septic system at the above address. The Deed Restriction must be signed and dated by the current owner(s) or legal designee. Once the restriction is signed,please have the original restriction recorded and stamped with the new Registry recording information at the Barnstable County Registry of Deeds, Route 6A, Barnstable. The recording fee at the Registry is currently $ 75.00. A copy of the stamped Restriction must then be returned to the Health Department as proof of the recording prior to issuance of the Title 5 Certificate of Compliance which is typically issued upon installation and approval of the septic system. ; ; If there are any further questions, please contact this office at 508-398-2231 X1240. Thank you ; for your prompt attention. Sincerely, . von Hone, R.S., C.H.O. Assistant Health Director cc: file t � i � °� TOVVN OF YARMOUTH Boardof E � Health 1146 ROUTE 28, SOLJTH YARMOITTH,MASSACHLJSET�'S 02664-24451 - '�• Telephone(508)398-2231,ext.241 Health Faac(508)760-34�2 Division APPLICATION FOR TITLE V DEED RESTRICTION � The information requested below must be accurate and completed in full to ensure the deed restriction 1 can be completed properly and in a timely manner. i i a � � 1. Town of Yarmouth Assessor's Book(most current): � � Map ��e Lot !S Address 3g�/�' ��'�` �''�'�`�` s' � i 2. The property deed is recorded at the Barnstable County Registry of Deeds in Deed Book2g� 67,page l g� or Land Court Certificate 3. The lot indicated above is shown on a plan of land entitled: S�bc�.`v,s;� �iav� � � c �'�.r—s E `Lqr��� M�, ,�c���'C: �r_'..�.,./'y�'�i�ted 8' �'z r I �2 The plan of land far the lot is recorded at the Barnstable County Registry of Deeds in Plan Book I'Cf�Z Pa e I? or Land Court Plan g 1 �� Y 4. The engineered septic plan has been prepared by �n9>�RRf n5 t�Pa�1� 1� C and dated f 1(2.�'� ,r' 5. Board of Health approval date 7'��� "l� 6. The number of bedrooms is restricted to �. 7. Owner Name: �{jal�, /�,����� �j,�C, �— Address: 2 �//�5'O�f L��-/ ��s'� .�r c�� /l�� �'���� � The required information supplied to this department for the application of a Title V Deed Restriction is correct as shown above. � �j�, � , �y��' /`-"f•y� r,� r •7/��/p�. ��������4!P�'` Applicant Date sio2 G3��'�u�isD �UN 2 2 2016 HF�,!_Tf-i L�l�T.