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Home My WebLink AboutMiscellaneous - 500 REA STREET Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-1196 Provided by DEP A. Project � Information Important: When filling out 1• This Certificate of Compliance is issued to: forms on the William McManus computer, use Name only the tab key to move 500 Rea Street your cursor- Mailing Address do not use the North Andover MA. 01845 return key. City/Town State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: William McManus Name ` 5/15/03 242-1196 Dated DEP File Number 3. The project site is located at: 500 Rea Street North Andover Street Address City/Town Map 38 Parcel 315 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner(if different) Essex North 4909 209 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 2/9/07 Date B. Certification Check all that apply: ® Complete Certification: It is hereby certified that the work regulated by the above-referenced Order of Conditions has been satisfactorily completed. ❑ Partial Certification: It is hereby certified that only the following portions of work regulated by the above-referenced Order of Conditions have been satisfactorily completed.The project areas or work subject to this partial certification that have been completed and are released from this Order are: wpaform 8b.doc-rev.7/13/04 Page 1 of 4 17L Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File number. WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1196 Provided by DEP B. Certification (cont.) ❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the above-referenced Order of Conditions never commenced. The Order of Conditions has lapsed and is therefore no longer valid. No future work subject to regulation under the Wetlands Protection Act may commence without filing a new Notice of Intent and receiving a new Order of Conditions. ® Ongoing Conditions: The following conditions of the Order shall continue: (Include any conditions contained in the Final Order, such as maintenance or monitoring, that should continue for a longer period). Condition Numbers: 69 C. Authorization Issued by: North Andover Conservation Commission Date ff Issu nce This Certificate must be signed b a majority of the Conservation Commission and a copy sent to the applicant and appropriate D gional Office(See Attachment). Signatures: wpaform 8b.doc•rev.7/13/04 Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number. WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-1196 Provided by DEP C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex Northam On this Day Month Year before me, the undersigned Notary Public, personally appeared Name of Document Signer proved to me through satisfactory evidence of identification,which was/were Massachusetts License Description of evidence of identification to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of North Andover Conservation Commission City/Town � X' � �� iggna)ture of Notary Public DONNA M.WEDGE NOTARY PUBLIC Printed Name of Notary Public COMMONWEALTH OF MASS,"' '-STTS My Comm.Expi r.,^ 171a 9 My Com ssio xpires(Date) Place notary seal and/or any stamp above /I)171)A 4� Signature of Notary Public wpaform Bb.doc•rev.7/13/04 Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B - Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-1196 Provided by DEP D. Recording Confirmation The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of Deeds or the Land Court for the district in which the land is located. Detach on dotted line and submit to the Conservation Commission. To: North Andover Conservation Commission Please be advised that the Certificate of Compliance for the project at: 242-1196 Project Location DEP File Number Has been recorded at the Registry of Deeds of: County for: Property Owner and has been noted in the chain of title of the affected property on: Date Book Page If recorded land, the instrument number which identifies this transaction is: If registered land, the document number which identifies this transaction is: Document Number Signature of Applicant wpaform 8b.doc•rev.7/13/04 Page 4 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal forms and DEP payments,payable to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wates Alford Cummington Hatfield Monterey Richmond Ware Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield,MA 01103 Ashfield Deerfield Heath Monson Russell Washington Phone:413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Belchertown East Longmeadow Holland New Ashford Savoy Westfield Fax:413-784-1149 Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge Buckland Gill Lee Northampton Southampton Whately Charlemont Goshen Lenox Northfield South Hadley Wilbraham Cheshire Granby Leverett Orange Southwick Williamsburg Chester Granville Leyden Otis Springfield Williamstown Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor Chicopee Greenfield Ludlow Pelham Sunderland Worthington Clarksburg Hadley Middlefield Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Asnburnnam Clinton Hubbardston Mifiville Shirley Warren Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester,MA 01608 Athol Dudley Holliston Northborough Southborough Westborough Phone:508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield Fax:508-792-7621 Barre Fitchburg Leominster Oakham Sterling Westford TDD:508-767-2788 Bellingham Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunenburg Paxton Sturbridge Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway Phillipston Townsend Boylston Holden Mendon Princeton Tyngsborough Brookfield Hopedale Milford Royalston Upton DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville,MA 02347 Avon Duxbury Halifax New Bedford Rochester Wellfleet Phone:508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater Fax:508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport Bourne Easton Harwich Norwell Scituate West Tisbury TDD:508-946-2795 Brewster Edgartown Kingston Oak Bluffs Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fall River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Chatham Foxborough Marshfield Plymouth Swansea Chilmark Franklin Mashpee Plympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohasset Hull Middleton Reading Waltham Boston, MA 02108 Ashland Concord Ipswich Millis Revere Watertown Phone:617-654-6500 Bedford Danvers Lawrence Milton Rockport Wayland Fax: 617-5561049 Belmont Dedham Lexington Nahant Rowley Wellesley Beverly Dover Lincoln Natick Salem Wenham TDD:617-574-6868 Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston BoxfordEverett Lynnfield Newburyport Sherbom Westwood Braintree Framingham Malden Newton Somerville Weymouth Brookline Georgetown Manchester-By-The-Sea Norfolk Stoneham Wilmington Burlington Gloucester Marblehead North Andover Sudbury Winchester Cambridge Groveland Medfield North Reading Swampscott Winthrop Canton Hamilton Medford Norwood Tewksbury Woburn Carlisle Haverhill Melrose Peabody Topsfield wpaform8b.doc•DEP Addresses•rev.2/5/07 Page 1 of 1 t4ORTH �4 O �s_ao j q. 6 46 OL r 1, T O'p COC.�MCMtWKM 1. T �,SSACHU$ CONSERVATION DEPARTMENT Community Development Division Modification to Order of Conditions The NORTH ANDOVER CONSERVATION COMMISSION agreed to accept Applicant: I Iism WftAW, OK krrw�pg ," AS 1�421 Ir PlAn D--A as a Modification to the Order of Conditions issued in File 242- 11 96 dated -5,15 ayaind recorded in Book# a e Issued by the NORT R CONSERVATION COMMISSION: 2 Cha s-� On this 0 ( of efore me personally appeared Scott Masse to me day month/jr known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed. 2 g -7/200 04'21wz�� Notary Public pp1�lA�M1NED�E coMMORWEA TIO MASSACHUSETTS My Comm. Aug.7.2009 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9530 Fax 918.688.9542 Web www.townofnorthandover.com Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 7 — Extension Permit for Orders of Conditions 242-1196 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. General Information Important: When filling out 1. Applicant: forms on the William McManus computer, use Name only the tab key to move 500 Rea Street your cursor- Mailing Address do not use the North Andover MA. 01845 return key. City/Town State Zip Code 2. Property Owner(if different): Name rehan 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: 5/15/03 Date for work at: 500 Rea Street Map 38 Parcel 315 Street Address Assessor's Map/Plat Number Parcel/Lot Number recorded at the Registry of Deeds for: Essex North Document#41084 County Book Page Certificate(if registered land) is hereby extended until: 5/15/07 Date 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. Date the Order was last extended(if applicable): Date Issued by: North Andover R A k Conservation Commission Date wpaform7.doc•rev.3/1/05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 7 — Extension Permit for Orders of Conditions 242-1196 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP B. Authorization (cont.) This Order of Conditions Extension must be signed by a majority of the Conservation Commission and a copy sent to the applicant and the appropriate DEP Regional Office. Signat es: Notary Acknowledgement Commonwealth of Massachusetts County of Essex North 9 +ti ��r C A On this Day of Month Year Before me, the undersigned Notary Public, personally appeared - C e: t Name of Signer proved to me through satisfactory evidence of identification,which was/were Massachusetts License Description of evidence of identification to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of North Andover Conservation Commission Cityrrown DONNA M.WEDGE NOTaRY PUBLIC Signature of Notary Public 4OFVASSACKUSETT5an Printed r.>a Act.7,2009 Printed Name of Notary Public 1 Place notary seal and/or any stamp aboveve 9' My Commi soon Expires(Date) wpaform7.doc•rev.311105 Page 2 of 3 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 7 — Extension Permit for Orders of Conditions 242-1196 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP C. Recording Confirmation 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 page 3 of Form 7 and submit it to the Conservation Commission prior to the expiration of the Order of Conditions subject to this Extension Permit. To: North Andover Conservation Commission Please be advised that the Extension Permit to the Order of Conditions for the project at: 500 Rea Street 242-1196 Project Location DEP File Number has been recorded at the Registry of Deeds of: Essex North County for: Property Owner 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 Page 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 wpaform7.doc•rev.3/1/05 Page 3 of 3 A W LJ7Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal forms and DEP payments,payable to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Alford Cummington Hatfield Monterey Richmond Ware Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield,MA 01103 Ashfield Deerfield Heath Monson Russell Washington Phone:413 784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Belchertown East Longmeadow Holland New Ashford Savoy Westfield Fax:413-784-1149 Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge Buckland Gill Lee Northampton Southampton Whately Charlemont Goshen Lenox Northfield South Hadley Wilbraham Cheshire Granby Leverett Orange Southwick Williamsburg Chester Granville Leyden Otis Springfield Williamstown Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor Chicopee Greenfield Ludlow Pelham Sunderland Worthington Clarksburg Hadley Middlefield Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester,MA 01605 Athol Dudley Holliston Northborough Southborough Westborough Phone:508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston Fax: 508 792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield Barre Fitchburg Leominster Oakham Sterling Westford TDD:508-767-2788 Bellingham Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunenburg Paxton Sturbridge Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway Phillipston Townsend Boylston Holden Mention Princeton Tyngsborough Brookfield Hopedale Milford Royalston Upton DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury Halifax New Bedford Rochester Welifleet Phone:508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater Fax: 508 947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport Bourne Easton Harwich Norwell Scituate West Tisbury TDD:508-946-2795 Brewster Edgartown Kingston Oak Bluffs Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fall River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Chatham Foxborough Marshfield Plymouth Swansea Chilmark Franklin Mashpee Plympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohasset Hull Middleton Reading Waltham Boston,MA 02108 Ashland Concord Ipswich Millis Revere Watertown Phone:617-654-6500 Bedford Danvers Lawrence Milton Rockport Wayland Fax: 617 556-1049 Belmont Dedham Lexington Nahant Rowley Wellesley Beverly Dover Lincoln Natick Salem Wenham TDD:617-654-6868 Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfield Newburyport Sherbom Westwood Braintree Framingham Malden Newton Somerville Weymouth Brookline Georgetown Manchester-By-The-Sea Norfolk Stoneham Wilmington Burlington Gloucester Marblehead North Andover Sudbury Winchester Cambridge Groveland Medfield North Reading Swampscott Winthrop Canton Hamilton Medford Norwood Tewksbury Woburn Carlisle Haverhill Melrose Peabody Topsfield wpaform7,doc•DEP Addresses•rev.3/6/06 Page 1 of 1 Town of North Andover < NORTH Office of the Zoning Board of Appeals F? Community Development and Services Division • 27 Charles Street ` °+ •� �--• ' rev North ✓��4°� North Andover,Massachusetts 01845 cau$�t D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 Minor Modification to Notice of Decision Year 1997 Property at 500 Rea Street NAME: William&Kathleen McManus Modification Date: 5-13-2004 ADDRESS: 500 Rea Street PETITION: 1997-028 The North Andover Board of Appeals held a public hearing at its regular meeting on Thursday,May 13,2004, at 7:30 PM in the Senior Center, 120R Main Street,North Andover,MA upon the application of William and Kathleen McManus,500 Rea Street requesting the Board to modify the September 9, 1997 decision granting a Special Permit for a family suite,to increase the gross floor area from 840 square feet to 1064 square feet. The following members were present: William J. Sullivan,Walter F. Soule,John M.Pallone,Ellen P. McIntyre,and Joseph D.LaGrasse. Upon a motion by Waiter F. Soule and 2nd by John M.Pallone,the Board voted to GRANT the applicant's request to modify the Special Permit 1997-028 to extend the existing 840 sq.ft.family suite to 1064 square feet per Site Plan 500 Rea Street North Andover,MA prepared for William McManus,date April 11,2003,rev. April 15,2003,April 23,2004 by Richard C.Tangard,Registered Professional Engineer#13021,New England Engineering Services,60 Beechwood Drive,North Andover,MA. Voting in favor: William J.Sullivan,Walter F.Soule,John M.Pal Ione,and Ellen P.McIntyre. The Board finds that the modification request is within the allowed seven(7)year modification time and the applicant has satisfied the provisions of Section 9,Paragraph 9.2 of the Zoning Bylaw that such change, extension,or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Town of North Andover Board of Appeals, 7 WilliamJ.Su 'van,Chairman Decision 1997 228 Modification. NJ M38P315. ;-� r = Y Enclosure: Decision 1997-028 ,, Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-6,88-9530 Health 978-688-9540 Planning 978-688-9535 .r z.. of .".0 "IIV tr o O � D ' REvLI.�r JOYCE BRAD>,IHAW `• ' y TOWN CLERK Any appeal shall be filed 'SS^C"UskNORTH ANDOVER f TOWN OF NORTH ANDOVER within (20) days after the SEP 59 FM X97 OT ti',IS Notice MASSACHUSETTS in the Office of the Town Clerk. BOARD OF APPEALS NOTICE OF DECISION Property: 500 Rea Street William & Kathleen McManus Date: September 10, 1997 500 Rea Street Petition: 028-97 North Andover MA 01845 Hearing Date: 9/9/97 The Board of Appeals held a regular meeting on Tuesday evening, September 9 , 1997 upon the petition of William & Kathleen McManus, requesting a special permit under Section 4 , Paragraph 4. 121 (17) so as to allow the construction/addition of a Family Suite with the conditions that identification (pictures) of occupants, are submitted to the Building Dept. and provided that: a. The dwelling unit is not occupied by anyone except brothers, sisters, maternal and paternal parents and grandparents, or children of the residing owners of the dwelling unit; b. That the premises are inspected annually by the Building Inspector for conformance to this section of the Bylaw; c. The Special Permit shall be recorded at the North Essex Registry of Deeds . Said Premises are land and building with property with frontage on the East side of number 500 Rea Street, the premises affected have an area of 45, 744 sq. ft. and frontage of 150 feet which is in R-2 Zoning District. The following members were present and voting: William Sullivan, Walter Soule, John Ford, Jahn Pallone, Scott Karpinski . The hearing was advertised in the Lawrence Tribune on 8/26/97 and 9/2/97 , all abutters were notified by regular mail . Upon a motion by John Ford, seconded by Walter Soule, a, motion was granted for a Special Permit. Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure the granting of a Building permit as the applicant must abide by all applicable local, state and federal building codes and regulations, prior to the issuance of a building permit as required by the Building Commissioner. r BOA 0 �P ALS , Willia Sullivan, Chairman Hpr 13 04 11 : 12a Law Offices 9787942088 p. 2 Apr 13 04 1U: ?3a NORTH RNDOVFR 9786989542 p. Town of North Andover Office of the Zoning Board of Appeals o F 1 9 Community Development and Services Division 27 C I t u hoc`it n-ei '} NOI-Lh An kt h'1d�S. hu> lh(ll i{5 sic usc a) Date U TwArn of North .Andover Tonin t Hoard of Appeals Z7 Charles Street \c;rth .Andover MA 0184 Please be advised that I have agreed to waive the time-constraints for the North ,�WOver Lomn.o Board ofAppeals to snake a decision regarding the gmnung of a Variance Spee:;li Perini' Cumprehenstve Permit (40B) K � F induig c e :u: ctvperly :�, used at: S1 �Zb ET SQL' lCC�Z_ S e � c:�z;L' _, __ _ __- < MAP � �� PARCEL -. 70 MLLTl1yG DA 7 -(S); Pl'rIr►o, <4 Vrt Izeetitioner(or itioner'srepresentative) jf�•_ 3 4 BOARD of APPEALS Town of North Andover of No oTM +ti Office of the Zoning Board of Appeals ? Community Development and Services Division r 27 Charles Street North Andover,Massachusetts 01845 13s�cE+us�� D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax (978)688-9542 Date TO: Town of North Andover Zoning Board of Appeals 27 Charles Street North Andover MA 01845 Please be advised that I have agreed to waive the time constraints for the North Andover Zoning Board of Appeals to make a decision regarding the granting of a Variance , r Special Permit; i�v l q% " D ' Comprehensive Permit (40B)' Finding for property located at: STREET:— TOWN: h 'n do� TO MEETING DATE(S): 4— j3 - NAME OF PETITIONER: �' l �r wl ✓'u5 Signed: Pe&r(or pet' 'oner's representative) VA VER jM MAR 9 ® Board o peals 978-688-9541 Budding 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978 688=4535 204 BQAM OFEAL-6