HomeMy WebLinkAbout- Permits #242-1675 - 40 HILLSIDE ROAD 10/26/2018 /
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LlMassachusetts Department of Environmental Protection oep File Number:
Bureau Of Resource Protection - Wetlands
WPA Form 7 — Extension Permit for Orders of Conditions 242-1675
Massachusetts Wetlands Protection Act M.G.[. c. 131. §40 Provided byoep
A. General Information
Important:
When filling out 1. Applicant:
Aoo!�anApplicant:
forms onthe Winslow Drive Realty Group, LUC
computer, use Name
mn|ythetab
�4VVin�|mw Drive��tommm |
yourcumnr- Mailing Address �
dw not use the Atkinson NH 03811 �
return key. City/Town State Zip Code
4:1 2. Property Owner(if dUferent):
Norman &Janet Wallace
manv
40 Hillside Road
Mailing Address
North Andover MA � 01845
City/Town State Zip Code
B, Authorization
The Order ofConditions (or Extension Permit) issued to the applicant or property owner listed above on:
4/14/2016 North Andover Conservation Commission
Issued by:
Date Conservation Commission
4O Hillside Road A8C 10
forwodkat� p V��N Number
� Street Address aoauouornMapunmu Number arme um
recorded at the Registry of Deeds for:
Northern Essex 14609 78
County Gook Page
|
in hereby extended nd�� until: 4/14/2020 |
Date Date the Order was last m«onmou(ir applicable)
This date can be no more than 3 years from the expiration date of the Order ofConditions or the latest
extension, Only unexpired Orders of Conditions or Extension may be extended.
This Extension Permit must be signed by a majority of the Conservation Commission and m copy sent to
the applicant and the appropriate OEP Regional Office
signatures- Date
wpam,m/do"'re.,umyoo14 Pagel me