HomeMy WebLinkAbout- Permits #242-1669 - 265 SUMMER STREET 12/12/2018 Massachusetts Department of !Environmental Protection
DPP File Number:
Bureau of Resource Protection - Wetlands
i
Ll WPA Form 7 — !extension Permit for girders of Conditions —mm.242.-1669
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DPP
A. !General Information
Important:
'V'V'hen filling out 1. Applicant:
forms on the
Jeff& Carrie Corliss
computer, use
only the tab Name
key to move 265 Summer Street
your cursor- Mailing Address
do not use the North Andover MA 01845 j
return key. CityTown State Zip Code
r 2. Property Owner(if different):
Name
Mailing Address
City/Town state Zip Code
i
l
B. Authorization
The Order of Conditions (or Extension Permit) issued to the applicant or property owner listed above on:
1/27/2016 Town of north Andover
Date Issued by, Conservation Commission
265 Summer Street 107A 291
for work.at: .... .. ..._..�. ._.......
Street Address Assessor's Map/Plat Number Parcel/Lot Number
recorded at the Registry of Deeds for:
Northern Essex 15593 263
County Boob Page
Certificate(!if re,gistered_land)
is hereby extended until: 1/27/2020
Date Gate the Order was last extended(if applicable)
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. i
This Extension Permit must be signed by a majority of the Conservation Commission and a copy sent to j
the applicant and the appropriate DEP Regional Office
(htt ://www.mass. ov/eea/a encies/mas a /about/contacts/find-the-massde -re Tonal-office-far- our-cit -or-
town.html).
Signatures:
12/12/2018
to
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Massachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
PA Form 7 — Extension Permit for Orders of Conditions 242-1:669
Ll W 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 this page and submit it to the Conservation Commission prior to the expiration of the Order of
Conditions subject to this Extension Permit.
To:
Conservation Commission
Please be advised that the Extension Permit to the Order of Conditions for the project at:
Project Location DEP File iNumber
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 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
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