HomeMy WebLinkAbout- Permits #242-1672 - 492 SUTTON STREET 2/27/2019 Massachusetts Department of Environmental' Protection
DEP File Number
Bureau of Resource Protection -Wetlands
WPA Form 17 — Extension Permit for Orders of Conditions 242-1672
ILI 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 Lawrence Municipal Airport c/o Michael Miller
computer, use Name
only the tab
key to move 492 Sutton Street
your cursor- Mailing Address
do not use the North Andover MIA 01845
return key. City[Town State Zip Code
2. Property Owner(if different):
Name
Mailing Address
CityFrown State Zip Code
B. Authorization
The Order of Conditions (or Extension Permit) issued to the applicant or property owner listed above on:
03/1012016 - Issued by: North Andover Conservation Commission
Date Conservation Commission
for work at: 492 Sutton Street 34 2'6
Street Address Assessor's Map/Plat Number Parcel/Lot Number
recorded at the Registry of Deeds for:
Essex North 14 29
County Book Page
2007
Certificate(if registered land)
03/10/20
is hereby extended until: Date Date 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.
This Extension Permit must be signed by a majority of the Conservation Commission and a copy sent to
the applicant and the appropriate DEP Regional Office
(http://www.imass.gov/eea/agienicies/massde6Yabout/contacts/find-the-massdep-regio,nall-office-for-your-city-or-
town.htmll).
Signatures: Date
..........
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Massachusetts Department of Environmental Protection DEP File Number:
ILI bureau of Resource Protection - Wetlands
WPA Form 7 — Extension Permit for Orders of Conditions 242-167
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Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by[.7EP
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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 hand is located, within the chain of tittle 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 DPP 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 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
r
Signature of Applicant J
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