HomeMy WebLinkAboutSE83-2211 OOC recordedBk 32499 Po 138 -59807
11-26-2019 a 11=44a
ORIGINAL
d. Mailing Address
e. City/Town
5. Project Location:
40 Constance Avenue----
a.
venue-a. Street Address
86
c. Assessors Map/Plat Number
Latitude and Longitude, if known:
f. State
West Yarmouth
b. City/Town
63
d. Parcel/Lot Number
41 d40m57.864s
d. Latitude
g. Zip Code
70d 13m 31.044s
e. Longitude
wpaform5.doc • rev. 11/12/2014 Page 1 of 12
(5
Massachusetts Department of Environmental Protection Provided by MassDEP:
SE83-2211
Bureau of Resource Protection - Wetlands
MassDEP File #
Ll
WPA Form 5 — Order of Conditions
this form has
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction #
Town of Yarmouth Wetland By-law, Chapter 143 Yarmouth
City/Town
d. Mailing Address
e. City/Town
5. Project Location:
40 Constance Avenue----
a.
venue-a. Street Address
86
c. Assessors Map/Plat Number
Latitude and Longitude, if known:
f. State
West Yarmouth
b. City/Town
63
d. Parcel/Lot Number
41 d40m57.864s
d. Latitude
g. Zip Code
70d 13m 31.044s
e. Longitude
wpaform5.doc • rev. 11/12/2014 Page 1 of 12
(5
A. General Information
Please note:
Yarmouth
this form has
1. From:
Conservation Commission
been modified
with added
to
2. This issuance is for
a. ®Order of Conditions b. ❑ Amended Order of Conditions
space
accommodate
(check one):
the Registry
of Deeds
3. To: Applicant:
Requirements
Kinnie
Chiu, Trustee
a. First Name
b. Last Name
Important:
When filling
Chiu Kinnie LivingTrust
out forms on
c. Organization
the
40 Constance Avenue
computer,
d. Mailing Address
use only the
tab key to
West Yarmouth -
MA 02673
move your
e. City/Town
f. State g. Zip Code
cursor - do
not use the
4. Property Owner (if different from applicant):
return key.
*11 rae
a. First Name
b. Last Name
re2vn
c. Organization
d. Mailing Address
e. City/Town
5. Project Location:
40 Constance Avenue----
a.
venue-a. Street Address
86
c. Assessors Map/Plat Number
Latitude and Longitude, if known:
f. State
West Yarmouth
b. City/Town
63
d. Parcel/Lot Number
41 d40m57.864s
d. Latitude
g. Zip Code
70d 13m 31.044s
e. Longitude
wpaform5.doc • rev. 11/12/2014 Page 1 of 12
(5