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HomeMy WebLinkAboutMiscellaneous - 143 LIBERTY STREET 4/30/2018 K-1 LIBBTy-STREET_ --- �' 210/090.6-0062-0000.0 APPLICANT: RICHARDSON fr r� ii 4 i MAP # qo / LOT # PARCEL # STREET - -------- ---- . _......-....._........... CONSTRUCTION APPROVAL HAS PLAN REVIEW FEE BEEN PAID? OE NO PLAN APPROVAL: DATE 1b 101310...... APP.APP. BY _._.. _ ... .. ...... DESIGNER: ��/ �5—TL �� __. PLAN Dn rE- p/.__�.... 3�. �_.........._ CONDITIONS _.._._.....-...._..._.._._..._.... WATER SUPPLY: TOWN�� WELL — WELL PERMIT_— v� WELL TESTS: CHEMICAL DA F-E APPROVE-�� BACTERIA I DA1 E (IPPRUVED BACTERIA I I DATE APPROVER................._..........__......._ COMMENTS: FORM U APPROVAL: APPROVAL TWISS Y - NO DATE ISSUED _ `r_.__.._..__...._.BY...— _... ._ CONDITIONS: FINAL APPROVAL: ALL PERMITS RAID YES 110WELL CONSTRUCTION APPROVAL YCS NO SEPTIC SYSTEM CONSTRUCTION APPROVAL NO OTHER NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DA TEs,�.� y�..._DY: Aj „__. ' $ERT I_ ...._S_YSTE.t ...:_L.NSTALL.9. .I_�N. IS THE INSTALLER LICENSED? YES NO TYPE-OF- CONSTRUCTION: NEW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW NO CONDITIONS OF APPROVAL NO (FROM FORM U) ISSUANCE OF DWC PERMIT YES 0 GG� DWC PERMIT N0. �J � � I NS7ALLER: Qj BEGIN INSPECTION YES N0: EXCAVATION INSPECTION: NEEDED: PASSED L? Z BY CONSTRUCTION INSPECTION: NEEDED: Lo �` S �� l ec.5 olli Zoo AS'BUILT PLAN SATISFACTORY: YES: Ole � p APPROVAL TO BACKFILL: DATE: /0 FINAL GRADING APPROVAL: DATE FINAL CONSTRUCTION APPROVAL: DATE:_______________.BY_^_.______..___ I ownNortF� ndovero ._ t V . No 264 TlorthAndover, Mass - 19 4 ,,�� , ,, jow c Z J 4,n PERMIT. To� UILD BOARD OF HEALTH THIS CERTIFIES THAT.................?/. I ... C.J.. .0 ............................... ��AA r.... BUI IN P T has permission to erectft :}: Be buildings on Roug to be occupied a /tj . �.��.1f�-C�.�.= ht.ilD,v.e.C.(..i NG.... Chimney��.3..:-�1-�.�A��tl:�..!t.!x�.�l.�o i Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBI G INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of RougnQ14 /D t PERMIT FOR FOUNDATION ONLY vfk./La_ Buildings in the Town of North Andover. i in { VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA: 114. 8-S. B.C. DATE:_.....:....FEE PAID:. ELECTRICAL INSPECTOR PERM FOR FRAME/BUILDING Rough Service Final.w . DATE FEE PAIO:_..._,..�.. it BUILDING INSPECTOR GAS INSPECTOR 4t.d' F Rough ���{• � iFinal ` Display n "a Conspicuous Place on the Premises- FIRE EPT. 4 Do Not Remove l� 2 Burner (' 4u Lathing rove to Be Done Until. Ins ected and A STREET NO. ) a P Approved by Smoke Det Building Inspector y, _ 1 ,J&czdte&dejt eavOczatary, 9&c. 66 LITTLETON ROAD WESTFORD, MA 01886 (508) 692-8395 1-800-649-TEST a j I : ! I '! car,: .L{r'r��:••1� L_:....,• ..„ On I Maxk. :...,.. •: r •• 7 L. cc ,^, 9.7 �:- r !,1...1,:....,..., No :i 171:1.1. g L h :.:. "n, a, I j ing! L r::' of J. _ J_l•... ��"�In!'';:? fn 1'.1, ' I i No L: ,:1"a ecif 1rd 1 t_'5 ClrYi f?S�r L tt CJ ::•::. !� -_.•T3.+ea 7w•,....q;n�•srp>�..�:«.w......n�s.,:er.xaura.IleexewmnM:re. ��...�.., --- •-.�. .�-�-._+-�.�_-�_.�_ fng E.xceC":?(::I EF';"a r1.:='tr. - :j x :.1 t :i(i'i:i. i.. :.:..,,.:C-'a t::::"I= C'r_'ly (•i''•'"• it ii iali I .. •*•... ........ .: ... -: i ._ ..I_._. A.I. �,��. C� :.1...i........_ a ......... .. ....C..,'i q .... 66 LITTLETON ROAD WESTFORD, MA oIS86 c►,oe) oas" ��5 1.6m"B-TEST Report: Number „ C--;tilas 7277 Report Dates May 2309% is !'1 i y�.�te Sample T&ken At: I c ATTN: Tom Preen Lut 7 r Wilmington Pump Supply Lyberty St. 639 Woburn 6t. N. Andover,Ma Wilmingtonr MA MG7 i Sample T.af,: n BY: WPE SLM— Ons May 20, 991 � l I a CERTIFICATE OF ANALYSIS Test Parameter: EPA Mom Results Unites •� per Mac r i cc Coliform Bacteria �-� c _t;;` P Acidity Valwe (pH) 6.5-80 7,8 FU �s Cal or 1 to CPU '. F Welt No Liini rig/L . Iran . � 0. 0 mg/L. ' Monnnese . 050 <0.01 mg/L Nitrates (As N) IQ <0. 15 Sulfates 250 10.4 mg/L Turbidity 5 4. 2 NTU ;� • ; Conductivity Not. c}°,eaMed 24(1 umhos/c.m :t Alkalinity Not r'pecifird 10 5 mg/L !`€ Chloride2Z0 . 4 mg IL u'h Capper 1 . l,t <0. 01 mQ/L ! Sodium 20.." 33 mg/L Calcium No Limit 7. 1 mg/L Magnesium No Limiti .._, mg/L NT ' = Not-Tested h- E1.amrPC'.'s EVA Maximum standard. . "=EPA advisory limi nm formal limit " -=Exceeds EPA advisory 13}miti` Michael P. Car-ISOn fG7r Massachusetts State Certified L Testing Laboratory #MA049 Tharrt'renewn t, abur atury, 7 i This is to certify that I have inspected the construction of the said disposal system located at North Andover , MA. The , grades are' .as specified in the i plans and specifications a(ajed 1 r . Q r f - 8 I ; .r t f I ��Q y I hereby certify that the system has been constructed in I t substantial conformance with the approved plan , T 4195 that the materials used were in conformance with _Abe plan specifications and that the final grading substantially ; �G1STEt� �\`ya��c. i. conforms to the proposed plans with the following raAl� exceptions : 1 . The grades and configuration of the system are ash shown on thf splan and in the table below. 2 . Parent soil below the system was excavated and replaced with sand Fk.14 /NV PIPE OUT Of 1/0115E �La Zq•20 ,Q . /NI/P/PE INTO Tq/VKdUc �OQL /NV P/PE OUT OF 74- NK SSTkM INV P/PE INTO D. BOX. Z�, Y 7- 09 o 7 9 INV PIPE OUT OF D. 130)( Z s. s o ,Zs,111 �N INV ENO OF PIPE v zs• -59 F02 �2S.a-3 MS,TO. OZ.S.SZ I Z..5, 4s- H a?D >01 .4 VE244E STONE 5C.4I-E 1 4 0 DATE•• o W9 i DEPTH ,47 ReOBE R�1 o/ts�R (VOTE. 7-1II5 PL,4N /S NOT .4 14 41e�.41VTY C14RISTIANSEN SEfiGl, INC. OF T1IE SYSTEM BUT ,4 VE�/FICgT/ON /&0 SUMMER 5MEE7' HAVEIWILL,MASS. Of TIVE LOCATION OF T,4/E EXW/N6 ST�UCTU2ES. I This is to certify that I have inspected the construction of the said disposal system located at North Andover , MA. The grades are as specified in the plans and specifications d*4rW /0`21194. 1 • I V. A r to, 3Z�80 • q I I L F LI G if 1. SLOPF 2601111FE t.1ENT (/50) X = 150 - _ . .. . . ... ... . . ..... .. .. .... . DES/6N EL EV47-10N AT.. ..... . TOP OF TONE1 _ EX/5TIM 6`4027-10N qT.. . .. . . .2E YICLCO FILL - ....... ... ... .. ... . .. .. ...... i IFZ&11.4T/ONS o1Fs14�!N As aOIcT INV P/PE OL/T Of 1/0&567 tLa .0 zo zfl c ,Q Qr,J r INV P/PE INTO T41VK INV P/PE OUT OF T<1/VK SYSTEM INV PIPE INTO D. BOX. L�,-f z(.. og V IN /N P/PE OUT F O 49 BOY �. �c� �z,s.� , INV END OF PIPE � �OVF zs. '3g F02 � �H a?. �y�sQ ,4VE2AOE STONE 5C.4LE 40 DATE: �o �g i DEPTII AT ReOBE NOTE. 7-11/5 PLAN i5 Ivor ,4 NA1eli?4NTY C1IRI STIANSEN SERO INC. OF T1/E SYSTEM BUT ,4 vE1e/F/C,4T/OPV 1&0 SUMMER srREEr HAVERAULL,MAss. Of T#6C LOCATION OF 7WE EXI5TIN6 ST�eUCTU2ES. i �. Qom.. �� � • . c \ } 17. t• T B - \ S N / 3 y n J dy C) - // o N io I {, / '5,9 � --� � 4PPRpX• TOW � I I ti ' L iNE NLR T14 Aiv DOVEj4� 3 M/DOLE7-O/V i v A r az Sao' 1q F rj N Sri�F� p At X - 150 . _ ... .. ... ... . . ..... .. ....... N ECEv,4TION 47 .. ...... .(TOP 0F. 57ONZ-) �/1fC� ECEI/4TroN QT. . . .. .... 2EQUIieLz;9 FILL �L F14T/ONS DENOV <JS!3U/CT .. 1. ..._ ' CERTIFIED FOZIND,4T/ON LOCATION �o PLAN LOCATED /N A- 2 T h' /� n/ h © ✓�� t SCALE: /N = +C) D,4TE: CHR/ST/ANSEN �' SERG/, INC. /00 SUMMER ST. ^-HAVERM/LL, MA. 0/830 CL/ENT. TH/S CERTIFICATION /S MADE AND LIMITED TO THE ASOVE CL/ENT. I CERT/FY TIVAT THE STRUCTURE ,590WN CONFORMS • TO THE DIMENSIONAL REQUIREMENTS OF THE ZONING BY-1-AWS. OF THE _ . 7Z-�,.L-,!!,/. . . . . . . . . OF mo,: N/HEN CONSTRUCTED. .ar - f© OFFSETS SHOWN ARE FOR-ZONING DETERMINATION 1 Q p ONLY AND ARE NOT TO BE L1SED TO EST,IBLAW /-C:> -7- 7PROPERTY LINES OR TO DETERMINE LOC.4TIONS 3 , f V OF BUILD/NG ADO/T/ON5. 97 TO THE BEST OF MY KNOWLEDGE AND BELIEF • THE PR/MARY STRUCTURE SHOWN ON TN/S PLAN /S NOT LOCATED W1771/1V A FLOOD HAZARD ZONE AS .SHOWN ON DEPoRTMEJNT H.U.D. FEDERAL 1 �� INSURANCE ADMINISM47/0N MAPS. sow '�►�z�. , _ COMMUNITY /NUMBER: -Z SO.D�B. .00�s . g J V N OF ANCHAEL Na 3MM ° LAa �- �' 7 Z. _ Department of Environmental Management/Division of Water Resource WATER WELL COMPLETION REPORT WELL LOCATION / GEOGRAPHIC DESCRIPTIO Address �D 7l_�r ZS N S EW) of A'60*1 (feet) (circle) City/Town AyWec y,,-p f. _. (_l• -�i Well owner. ��-.�A,?c� �/� */ (road) Address /9 1,14 Ripl-.S" NS E W of dd q C3/,go el (mi.in tenths) (circle) Board of Health permit:/,Yves ® 7 no Y❑ intersect. w/5�y e ? (road) WELL USE WELL DATA _ Domestic K] Public❑ Industrial ❑ Total well depth Gg'-� ft. d Monitoring❑ Other Depth to bedrock >0 ft. e f4 tib .•/ Water-bearing rock/unconsolidated material: Method drilled L�(t Date drilled �l/c / Description Water bearin 9 CASING zones:rfQ Type ��`��` C- �/> 1) From To Length VQ ft. Dia(I.D.) 19 in.. 2) From 4�60 To 64-57 t 3) From To Length into bedrock 20 ft. Gravel pack well: dia. Protective well seal: Screen: dia. Grout-0 OtherSlot* length from_to PUMP TEST Static water level below land surface k?O ft. Date r o Drawdown- ft. after pumping / hr. min.atgpm How measured A)e6X7' Recovery_/_jft. after 1 hr. % O min. 0 LOG of FORMATIONS COMMENTS Materials Frons Toeocky c 7-,cc o ?'o �����✓ �� �, Driller i Mass. Registration# 6. Firm P'j eRA Address-� � �� S7— City/Town S%City/Town V/� / + Plenature o/supervising registered well driller ase print firmly �_BOARO,_OF,HEALTH COPY BOARD Or III:,nL'rll J, 7/0j Town of North Andovcr ,I-loss llate19 r 24 APPLICATION FOR WELL & I'Uh1P PERt1I'I' :a tion . is' hereby made for permit to drill a well . (X ) . Application Ls :o install (_) a pump system'. on : Address ]" ? Lot # F� Address /9.S/.o2eis' Qc� L1/iy �. - ;ontractor 1y/E�� �t[ Address f�f��%c�l�/ �ilJ Ic1 . ,�S�rIrS _ A ;ontractor Address ie1 . ;ONTRACTOR (To be completed at time of pump test ) Well uses] for )f W e 11 � �cS ��l c•�.���-- _ :er of Well ...> Size of C•asi lIg— of Bed Rock o r Depth casing into L'ecl Rocic <�G aal Tested? Yes No (_) Date of Testing 5/-/- / of—:Jed 1 - We11 Endcd in What. t1aterial_�� _ to Water Delivers Gals . I'er Hill . for hours awn �,��" feet after pumping _hours t e of Completion 'Sil;nat re We- 1-1 Contractor INSTALLER (To be'• filled i.rl before i IISta.l. lati.on ) & Name Pump - ------ - — -- ltrr►►P Tyle Used CPM . . , Size of 'l���nlc Pump Delivers -- Material Uses) in Well : Cast Iron ( r) Grilvrini7cd ( _) 1`111stic ( _1 Pit (_) or Pitless Adapter ( _) leeve used to protect pipe? Yes (_) 11OU "'yPe or Name Well Seal ^ � _,U5 �������tdrdv�r�r�r�t * 4 Water analysi's' repor-t 'submitted to Board of Ilealth__ release given (D owner of record & Bldg . Insp Ilealth InspecLor VIERA ARTESIAN WELL COMPANY 'S 253 Andover Street Route 133 GEORGETOWN, MASSACHUSETTS 01833 i N2 2640 (508) 352-8586 FAX: (508) 352-8586 TO Mr. Richard Deyeso Ma _..... . _..... y.....__..._._.... _ - --------.. .- DATE _... __.._.-. 21_x.1991 JOB NO. 19 Harris Road JOB NAME ._.. ._._.Water Well_,.Instal_lation Lynn,Ma. 0 1 9 0 4 ---____-- JOB LOCATION .............No.Andover-,.Ma TERMS ## FULL BALANCE IS NOM DDE UMN DRILLING CO)WLETION....I& IPT OF YOM? BILLING INVOICE. .. DESCRIPTION PRICE AMOUNT 59910654 Date of .Completion: /18/91.:._...._....... _. ......... _ _..........._....... Location: ._Lot #._3._...L berty._St..,__fib,Andbver,Na..-.._....._............ 685' of well drilling at $7.00 per ft. $ 4,795. 0 ---- .--......._..._._. 40' of 6" diameter well casing at $7.50 per ft. 300. 0 '! _...._. ..............-.-... _._...__.._._..._.._.. - _ _.. _..._... --------------- --- _---.. .. . ._. Charge for Driveshoe seal/Installation 50. 0 _... ' .............. _ ._._.... ...._ . ......_. ._. Ma. 5% Sales Tax on CASING & DRIVESHOE SEAL 17. 0 No.Andover Permit Application Fee; 25.00 -------------- --------- TOTAL AMOUNT DOT___..__.. _.....__._..._._..__.__..._......._._$,_.5,_187.50...._._.__ ' _ .. - - _ - - -- —> 'D...Dep.[ R.._...__........_..._..........CR:.. -.....500.00_..... _. i TOTAL__BALANCE...DUE _._...... ....... _...._ _ ......._........ .._$...4.,.6,8.7. 0 ._-_.-_. _ ._........_..........._....._..... ..__...- ._ ._ ._......_...... ._._.. ... __._.._... . ---- - ...._...._._.. _ .._. ._.._. .._.. ...... _.:....... ....... ... - ----- Well.....rated at 12 - ...__.. ._...............- ...... LAA ll � '&L _-... __.... ... -- .._. ._.-_. _------ ._.. - ----.__...._.................. .,.,,•. .,__..:- Servie.,fees-of-1,1N.are<.:applied-..to any—.tobalanc ,.,...please„ ± j;�, ORIGINAL C`�►IGIQyti21_( 6UJ 5� 0( s cl iACV,c1 7tprd te.vi 'f rc a d rato 90C. is 66 UTTUTON ROAD WESTFORD, MA 01886_� (508) 692.8395 1.800.649-TEST R part rd�_imbcrr „ !,-.,,v�:a�;' ';""'-� ;eE�;>rt' i:� k May ¢?, 1 n?l CII, "ntI SS(Ti;) e Tii;I:en At: E ATTNt. Tam Preen Lta Wilmington F'ump Supp 1 y Lyberty St. i 639 Wobvrn St. N. Andover,M }. Wilmingtone MA Q1887 Sample Py- On: CERTIFICATE OF ANALYSIS � Test PtaraxmutFr-: EPA Ma;; R,as t I t 6 Units J Coliform Bacteria per 100cc Ac di ty Val we (pH) b. 5-9. S 7. 8 SU Cc,lcar 1.pr Ca CPU Hardness Na LimiIt :' . mg/L { Iran . ' 0. 1 mg/L M*nganese , 050 c;0. cng/L ! Ni trate% (as N) 1 <0. 15 ma/L, SuI f stere 250 1 Cc. 4 (T19/L Tcarbidity 5 4. 2 NTU Ccnductivitv Not 24c.) umhos/cm c Alkalinity Not, 17pvr.ifird Chloride 250 7. 4 mg/L. Capper 1 . l'► ;t;T, c:>1 mrr'l, � , z' Gad i um 20" 77, mg/L CaIcium No Limit 7. 1 mg/L } r MagMUSiaim No Limit 1 .3 mg/L NT = N��t: ^T 'sl t, L°CJ '�h,:u -.;:^.@!E':a:n F� J Mim" 'i ii um v ti An d err"zl, "=EPA advisar•y limi t., rim formal l : m:it ed6 Er''A. advizzr•y li}mi.t f Ma5sachuzet:ts State Certified MiChetl P. Gc�r-l��oiT fpr Testing Lahor,,itnry #M�'04S Thorstensen Lab ar•at,Qry, Incoil BOARD OF )II;AL'I'll v 7/o j Town of North Andover ,t•lass . Date MAV /C 19:?/ APPLICATION FOR WELL & PUMP 11ERI.1IT ',cation . is hereby made for permit to drill a well OO . Application i-s ,to install (_) a pump system•. ion: Address T ST Lot �# ! Address 9A1 . L � Contractor�E,e� (,Jt LC Address e %cr/i✓ Is/� o (x'33 Contractor Address Tel . . CONTRACTOR (To be completed at time of pump test ) of Well Well used for !ter of Well Size of Casi.rng 1 of Bed Rock Depth casing; into L'ed Rock Seal Tested? Yes (_) No (_) Date of Testing J tge11 Ended in What- t-laterial Ila to Water_ Delivers Gals . I'er Min . for 4 hours Jown feet after pumping___hours at: GI'M fo1� of Completion Sil;na�urc l)-e- ( IEractor INSTALLER (To be-- filled in before instal. l.ati.on ) & Name Pump - - ------ -- —1emp 'rype Used 'r Pump Delivers GPM Size of Tal lc _ Material Used in Well : Cast Iron ( _) G. v;"" zed ( _) Plastic � 1 Pit ( ) or Pitless .Adapter ( _) sleeve used to protect pipe? Yes (_) 110( _) I•yl)c or tame Well Seal S i f' . ��I-;' , �l�� :','��'; :f?C��,U� t Water analysis repor-t 'submitted to hoard of He' alt_h_ I: release given tD owner of record & Iil.dg . Insp Health Inspector FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION ., ASSESSORS MAP 7� , SUBDIVISION LOT(S) PERMANENT ADDRESS ASSIGNED BY D.P.W. J S STREET APPLICANT� PHONE I t 7— bZI DATE OF APPLICATION 'f J"o;2 — 9� TOWN USE BELOW THIS LINE ' . . PLANN G OARD DATE APPROVED TOWS LANNER . ��,�( Q {� � y 1y DATE. REJECTED CONSRVATION COMMISSION { n t f-;�� rer ga.:,, e ti '•,jai � VQ.. DA 4 ,1 i. �. i 4 , l • �, " TE OVED." CONSE NATION ADMIN. a: ;:rr=,Hll EJECTED - y a BOARD OF IEA " llA'1E APP1tOViD ,; "A � � DATE REJECTED " 4 cg++ 1 a DEPARTMENT OF:PUBLIC WORKS.:. t/f DRIVEWAY PERMITIQ B e tfl�N�SEWER/WATER CONNECTIONS No wac' FIRE DEPT. -a `73 RECEIVED BY BUILDING INSPECTION i DATE This form shall be signed by the agents of ' the Planning and Health Boards, the Conservation Commission prior to the *is.suance of any building permits .: for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw.. HOARD OF HI'AL'I'll v 7/03 Town of North Aticlover ,t-lass . Da t e le 19 Y APPLICATION IOlt 14ELL & I' HP PL)tt1l'I' ation . iIs hereby made for permit to drill a well (g ) . Application Ls o install (—) a pump system. on : Address T 7•. . . Lot It . . . . . . . Address 9,S/ �s3 — ontractor �Eie�t► (,J,'LL Address .ontractor Address ;ONTRACTOR (To be completed at time of pump test ) if Well Well used for :er of Well Size of Casing— of asingof Bed Rock Depth casing into L'ecl Itocic :al Tested? Yes (_) No (—) Date of Tcsti-ng J Well t:nded in What. Haterial to WaCer Delivers.—Gal s . 1'er Min . for 4 hours )wn feet after pumping —_ hours. at G1'M )f Completion 5`it;naturotltractor INSTALLEIt (To be'• f'ill' ed i.n' before 1. I.ati.oil ) � Name Pump -_-_------- -------1't�mp '1'ypc Used Pump Delivers CPM Size of Tartic — Material Used in Well : Cast Iron ( _) rrtivnni �cd ( _) Plastic ( _1 Pit (_) or Pitless Adapter (_) lecve used torotect pipe? Yes (_) NU( _) l.ypc or t�amc Well Seal P Water analysi's' repor-t •submitted to Itoarcl of 110a1L11__ release given tD owner of record & Bldg, Insp Ilealtll Inspector r r ;�` ��t-js.r.f'r`� :�y, y°K.^w''.�^»r �..r..-. ...,1..YF+'�. "a _ i °Y - s�—,�...-..a-....as....ra.-..-�.�a..7 r...r�..-,......-_�._...a..._a,_�...._ _ __..13._._.�_._... ... _ ._� -• ___o ._ .._ -. _ JAMES F. VIERA D-B-A 7103 VIERA ARTESIAN WELL COMPANY 253 ANDOVER STREET,ROUTE 133 GEORGETOWN,MA 01833 53-117 Y (508)352-8586 113 kt &Z 147 1971 f PAY TO THE / y n /nyE.P 2S a►' f $ ORDER OFo.P%FiI �/�y�/ I $ L_��.� — o , ht ��a< o ��NT�%U .4.�Cc✓ oq/s DOLLARS Shawmut i e Shawmut Arlington Trus)Company FOR�r,%.? G,c4�a sT ,Zee ��e r1,7 11'00 7 10 3113 'I:O 1130 L 1701: 3 2 0 4 6 5 7u' - - A:-r i NUMiZF.R 1 - S THE COMMONWEA!_TH OF MASSACHUSETTS FEE , . 25. 00 f TOWN of QRT .11�Ii?S2�I.�13. ;.' .............. . This is to Certify that ........�ame•s• F._ .Yi�ra..D.-B -A.. ................ ! ` NAME ...,2.5_�___Andover Street, Georgetownl__ MA '; .........018 3 3 ADDRESS. IS HEREBY GRANTED. A LICENSE For ......_. ..Wel-1-_&...Pum .. R..Parmit....... ................... ...---•-•.............•---•---:......................................... This license is granted in conformity with the Statutes and l ordinances reatin�� t expires......DeCember 31, 1991 r hereto, and ............unless sootier sus revoked. ------.....Ma. 21 .......... May ,.....-. 19..-9.1 . ... : . ........ .. FORM 433 HOBBS $ WARREN. INC. {`,-_`�)_� T' O�..-.�.......... .. .. - '.�!.1.1.. r ;tl lhliay}i e sntyq+ k>; I - RICHARDSON FARMING DATE INVOICE AMOUNT ' (:--- REAL ESTATE DIVISION {. + ! 156 SOUTH MAIN STREET46152 MIDDLETON.MA 01949 I h. a. 1 t'{ , ' i la:j r 53-649. r I{ c 113 PAY L / DOLLARS CHECK N TO THE ORDER OF DATE GROSS AMOUNT DISCOUNT • it'd' I i' 1l i.. p :r•' —. & RICHARDSON FARMS,INC. i SAUGUS BANK AND TRUST COMPANY SAUGUS,MASSACHUSETTS 01906 ! 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