HomeMy WebLinkAboutDeed Restriction Bk 17857 Ps 121 126001
10-29-2003 a 09 = 59a.
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; � o , TOWN OF YARMOUTH
'0taA `3f 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451
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'0*"m.uio0 66g; Telephone(508)398-2231, Ext. 241 — Fax(508) 398-2365
BOARD OF HEALTH
NOTICE OF DEED RESTRICTION
RESIDENTIAL
Notice is hereby given of the applicability of the Town of Yarmouth Board of Health Department for a deed
restriction,to 35 Captain Dore Road ,shown in Town Assessors Book dated 2002,Map 67,parcel 171 . As
Deed is recorded at the Barnstable County Registry of Deeds,on the Deed Book 6404,Page 133 .
As plan of land is recorded at the Barnstable County Registry of Deeds on a subdivision plan titled "Subdivision
Plan of a Portion of Captain's Village"dated December 17, 1970 .
The engineered plan prepared by LaBarge Engineering ,dated October 6, 2003 , approved by the Health
Department on October 28,2003 ,requires a maximum,not to exceed:
(1) the number of bedrooms not to exceed Two (2);
per design restrictions,Title V, Section 15.214,Nitrogen Loading Limitations,
Zone II Areas of Wellhead Contribution.
Amy L.Von Hone,Assistant Health Director,R.S.,C.H.O./6%
�/eell fii Date /a -- 3
EXECUTED as a sealed instrument this date, (O b-Qi-d r )� .
f.Ann P 'dotkas,owner
35 Captain Dore Road, South Yarmouth,MA 02664
COMMONWEALTH OF MASSACHUSETTS
Barnstable,ss (&Ober a F ,2003
Then personally appeared the above named A II h?lC it 0 I I� and acknowledged the
foregoing instrument to beX free act and deed,before me.
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-� - TOWN OF YARMOUTH
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_,�� 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451
MATTACMEES `24
�'j Telephone (508) 398-2231, Ext. 241 — Fax(508) 398-2365
BOARD OF HEALTH
APPLICATION FOR TITLE V DEED RESTRICTION
The information requested below must be accurate and completed in full to ensure the deed restriction
can be completed properly and in a timely manner.
1. Town of Yarmouth Assessor's Book(most current):
Map O irJ Lot 11 I Address 3 5 t ., port IZOAL
2. The property deed is recorded at the Barnstable County Registry of Deeds in
Deed Book&gOly Page /33 or Land Court Certificate
3. The 1 tt indicated above.is town on a plan of land entitled: __SiAdi 1?S l"C4
f e.7 z\) G 1 CI t'/.3 i,ti1S V11!4C , dated /22 /2�/77G.
The plan of land for the lot is recorded at the Barnstable County Registry of D6eds in Plan
Book Page or Land Court Plan
4. The engineered sep 'c lan has been prepared by ,/ A ,uct+j cK'/ OC
and dated (a e
5. Board of Health approval date
. 6. The number of bedrooms is restricted to C
7. Owner Name: Ail /34#
O f S
Address: 3$ (4
7/7 01-/7 a2(,6-4
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The required information supplied to this department for the application of a Title V Deed
Restriction is correct as shown above.
Applicant Date
5/02
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