HomeMy WebLinkAboutSE83-2080 Recording of OOCMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
Iv'lassachusetts Wetlands Protection Act M.G.L. c. 131 , $40
Town of Yarmouth Welland By-law, Chapter 143
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Provided by MassDEP:
sE83-2080
MassDEP File #
eDEP Transaclion *
Yarmouth
Caty/Town
A. General lnformation
ihe Begislry
ol De.{,s
t. From:Conservalion Commission
2. This issuance is lor
(check one):
3. To: Applicant:
Kevin
a. XOrder of Conditions b. E Amended Order of Conditions
Barbato
a. Firsl Name b. Lasl Name
c. Organization
31 Oak Street
lmportant:
When Iilling
out fotms on
the
computer,
use oniy the
tab key to
move your
cursor - do
nol use the
relurr) key.
d. Mailinq Address
Foxboro IVA 02035
e- City/Town
4. Property Owner (if dillerent f rom applicant)
l. Stale g. Zip Code
a. First Namc
,-A c. Orqanization
d. Mailing Address
e. City/Town
5. Project Location:
60 Camp Street
l. Stale 0. Zip Code
a. Street Address
45
b. City/Town
24.2
c. Assessors Map/Plal NLrmber
Latitude and Longitude, il known:
d. Parcel/Lot Number
41d39m41s 70d15m46s
*Dalorms.de. et 11t12nou
d. Latilude e. Longitude
Yarmoulh
-61 b. Last Name
Yarmouth