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HomeMy WebLinkAboutSE83-2183 OOC recordedDoi -- 1 P 365 P 112 03--01-21319 1712 BARNSTABLE LAND COURT REGISTRY ORIGINAL Massachusetts Department of Environmental Protection Provided by MassDEP: John P. & Pamela E. Bureau of Resource Protection -Wetlands SE83-2183 �i WPA Form 5 — Order of Conditions MassDEP File# (� P.O. Box 606 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction # _ Town of Yarmouth Wetland By-law, Chapter 143 Yarmouth City/Town A. General Information Please note: Yarmouth this norm has been modified be 1. From: Conservation Commission with added space to 2. This issuance is for a. ®Order of Conditions b. ❑ Amended Order of Conditions accommodate (check one): the Registry on Deeds 3. To: Applicant: Requirements John Foran a. First Name b. Last Name Important: When filling out forms on c. Organization the P.O. Box 606 computer, d. Mailing Address use only the tab key to Yarmouth Port move your e. City/Town cursor - do not use the 4. Property Owner (if different from applicant): return key. ` John P. & Pamela E. r� a. First Name c. Organization P.O. Box 606 Yarmouth Port e. City/Town 5. Project Location: 25 Wharf Lane a. Street Address 121 c. Assessors Map/Plat Number Latitude and Longitude, if known: MA 02675 f. State g. Zip Code Foran b. Last Name MA 02675 f. State g. Zip Code Yarmouth Port b. City/Town 35 d. Parcel/Lot Number 41d42m17.5458s-70d15m21.1638s d. Latitude e. Longitude wpaform5 doc • rev. 11/12/2014 Page 1 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: 4 Bureau of Resource Protection - Wetlands SE83-2183 WPA Form 5 — Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 — eDEP Transaction # Town of Yarmouth Wetland By-law, Chapter 143 Yarmouth City/Town G. Recording Information Prior to commencement of work, this Order of Conditions must be recorded 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, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information on this page shall be submitted to the Conservation Commission listed below. Yarmouth _ Conservation Commission Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. To: Yarmouth Conservation Commission Please be advised that the Order of Conditions for the Project at: 25 Wharf Lane SE83-2183 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: Barnstable County Book for: Property Owner and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded land, the instrument number identifying this transaction is: Instrument Number Page If registered land, the document number identifying this transaction is: Dor: 1 P 365: 112 03-01-2019 1--12 Document Number LAMDUUFiT RE�ISTFtY Signature of Applicant wpaform5.doc • rev. 11/12/2014 Page 12 of 12