HomeMy WebLinkAboutSE83-1975 OOC Extension RecordedCertificate (if registered land)
is hereby extended until: 10 D/ —
Date Date the Order was last extended (if applicable)
This date can be no more than 3 years from the expiration date of the Order of Conditions or the latest
extension. Only unexpired Orders of Conditions or Extension may be extended.
This Extension Permit must be signed by a majority of the Conservation Commission and a copy sent to
the applicant and the appropriate DEP Regional Office
(http://www. mass.govteea/agencies/massdeptabout/contacts/f ind-the-massdep-regional-office-for/www. mass.povteea/agencies/massdeptabout/contacts/f ind-the-massdep-regional-office-fgkyogr-city+-or-
town.html).
Signatur . — at
wpaformTdoc • rev. 5/29/2014 Page 1 of 2
ll3k 30056 F°:o? 31 4W56921.
1-1-01-2016 a 01 2 52P
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 7 — Extension Permit for Orders of Conditions SE83-1975
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By-law, Chapter 143
A. General Information
Important:
When filling out
1. Applicant:
forms on the
Paul Butler
computer, use
Name
only the tab
key to move
22 Davenport Road
your cursor -
Mailing Address
do not use the
West Dennis MA
02670
return key.
Cityffown State
Zip Code
2. Property Owner (if different):
r�A,m
Name
Mailing Address
City/Town State
Zip Code
B. Authorization
The Order of Conditions (or Extension Permit) issued to the applicant or property owner listed above on:
10/7/2013 Issued by: Yarmouth
Date Conservation Commission
8 Jessie's Lane 51 102
for work at: _
Street Address Assessor's Map/Plat Number Parcel/Lot Number
recorded at the Registry of Deeds for:
Barnstable 26991
110
County Book
Page
Certificate (if registered land)
is hereby extended until: 10 D/ —
Date Date the Order was last extended (if applicable)
This date can be no more than 3 years from the expiration date of the Order of Conditions or the latest
extension. Only unexpired Orders of Conditions or Extension may be extended.
This Extension Permit must be signed by a majority of the Conservation Commission and a copy sent to
the applicant and the appropriate DEP Regional Office
(http://www. mass.govteea/agencies/massdeptabout/contacts/f ind-the-massdep-regional-office-for/www. mass.povteea/agencies/massdeptabout/contacts/f ind-the-massdep-regional-office-fgkyogr-city+-or-
town.html).
Signatur . — at
wpaformTdoc • rev. 5/29/2014 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP File Number:
WPA Form 7 — Extension Permit for Orders of Conditions SE83-1975
Massachusetts Wetlands Protection Act M.G.L. C. Provided by DEP
Town of Yarmouth Wetland By-law, Chapter 143
C. Recording Confirmation
131, §40
The applicant shall record this document in accordance with General Condition 8 of the Order of
Conditions (see below), complete the form attached to this Extension Permit, have it stamped by the
Registry of Deeds, and return it to the Conservation Commission.
Note: General Condition 8 of the Order of Conditions requires the applicant, prior to commencement of
work, to record the final Order (or in this case, the Extension Permit for the Order of Conditions) in the
Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of
the affected property. In the case of recorded land, it shall be noted in the Registry's Granter Index under
the name of the owner of the land upon which the proposed work is to be done. In the case of registered
land, it shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the
proposed work is done.
Detach this page and submit it to the Conservation Commission prior to the expiration of the Order of
Conditions subject to this Extension Permit.
To:
Yarmouth
Conservation Commission
Please be advised that the Extension Permit to the Order of Conditions for the project at:
8 Jessie's Lane
Project Location
has been recorded at the Registry of Deeds of:
Barnstable
County
for:
Property Owner
SE83-1975
DEP File Number
and has been noted in the chain of title of the affected property in accordance with General Condition 8 of
the original Order of Conditions on:
Date
Book
If recorded land the instrument number which identifies this transaction is:
Instrument Number
If registered land, the document number which identifies this transaction is:
Document Number
Signature of Applicant
wpaformTdoc • rev. 5/29/2014
I�ST�isi.E REGISTRY OF DEEDS
inhn F Meade, Register
Page
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