HomeMy WebLinkAboutDeed Restriction (To Be Recorded) and Application I
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NOTICE OF DEED RESTRICTION Page 2
RESIDENTIAL
Reference Address: 59 Swan Lake Road,West Yarmouth
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Valarie R Whitehead,Owner Dat
178 North Moodus Road,Moodus,CT 06469
STATE OF CONNECTICUT
/�i��� County �5 . �er.�"�c�c�tt..,,�L
�I-� s+4ci!� ��t l.�'TZ
On this th��y of Gv�o�. 200a,before me � l the undersigned
Notary Public,persovally appeared (Jh-L.�'Lj E y�, /��1�/�s� ' proved to me through satisfactory
evidence iderrtity,which was��verc GJ le.l� to be the person(s)whose name(s)is
signed on tlus preceding or attached document,and acknowledged to me tt�t helshe signed it voluntarily for
its stated purpose(s).
��
�.,ux`�/-�.�
1�Yotary Public
My Commission expires: SUSAN PRUEHER
]r0='ARY PIIBLIC
MYC0�10�4 MAY 81��11
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� � e=� +'� l 146 ROUTE 2�3 SOUTH YARMOUTH MASSACHUSETTS 02669-4451
� MATTACHEES �
� h��A�ORAiE0�6�� Telephone (508) 398-2231,Ext. 241 — Fax {508) '76d-3472
I B O A R D O F H E A L T H
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; March 19, 2007
Mr. &Mrs.Ronald Whitehea.d
178 North Moodus Road
Moodus,CT 06469
RE: Two Bedroom Deed Restriction for 59 Swan Lake Road,Yarmouth,MA
Dear Mr. &Mrs. Whitehead:
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 da.ted by
the owner(s) or legal designee in front of a notary. There are several notaries availa.ble at '
Yarmouth Town Hall,if needed. Once the restriction is signed and notarized,please make a copy ,
and have both the original restriction and the copy recorded at the Bamstable County Registry of
Deeds, Route 6A,Barnstable. The copy of the recorded Restriction must then be returned to the
Health Department as proof of the recording. Your engineer may be a good reference to help you '
with processing the required paperwork.
If there are any further questions, please contact this office at 508-398-2231 X241. Thank you
for your prompt attention. �
Sincerely,
;
Amy L. von Hone, R.S.
Assistant Health Director
cc: file
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�.��� Prittted or
Recycted
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Ron & lfalarie �I/hitehead
59 Swan Lake Road
West Yarmouth, MA 02673
February 15, 2007
To: Brian C. Kissling Backhoe & Excavating Services
Brian:
Please take a look at enclosed septic plan for our West Yarmouth property. We are
moving February 17, 2007.
Please forward your estimate to our new address:
178 North Moodus Road
Moodus, CT 06469
Home: 860-873-9177 Or Cell(s) 508-737-0434, 508-737-7235
We look forward to hearing from you as soon as possible. '
Thanks,
Ron Whitehead
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