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HomeMy WebLinkAboutHAFFNERS REALTY TRUST 564 CHICKERING ROAD Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2020 (City or Town) (Date) NOTE: Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): HEG Inc. (ADDRESS): 2 International Way,Lawrence,MA 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)or other i structure(s) situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Receive � ...2 20......... �vY. '�...W. .. ........................... 3. B ..... �(Si nature y -. ..... ............................... (Officia Ti ) (Clerk) (State whether owner,occupant or holder) (Address) Q Department of Fire Services Office of the State Fire Marshall P.O.Box 1025,State Road,Stow,MA 01775 t REGISTRATION a North Andover, April 30, 2020 (City or Town) (Date) This is to certify that HEG Inc. has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that: HEG Inc. is the holder of the license granted(Date)8/9/1982 for the lawful use of the building(s)or other structure(s)situated or to be situated at: 564 Chickering Road as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. (Signature d fficial Title) Clerk Note:A certificate of registration must be filed on or before April 30'of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2021 The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lezibly Business/Organization Name:Energy North Incorporated Address:2 International Way City/State/Zip:Lawrence, MA 01843 Phone #:978-640-1100 Are you an employer?Check the appropriate box: Business Type(required): 1.❑✓ I am a employer with 250 employees(full and/ 5. ❑✓ Retail or part-time).* 6. ❑RestaurantBar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate, auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] g• ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑ Manufacturing no employees. [No workers' comp. insurance required]* 4.❑ We are a non-profit organization,staffed by volunteers, 11.❑ Health Care with no employees. [No workers' comp. insurance req.] 1 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:Liberty Insurance Corporation Insurer's Address:303 E. Wacker Drive, Suite 360 City/State/Zip: Chicago, IL 60601 Policy#or Self-ins.Lic.#WCC-Z91-469101-019 Expiration Date:07/01/2020 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify,under the pains and penalties of perjury that the information provided above is true and correct. Si nab tune m XmA k�JA W Date: `4'- aCD Phone#:978-640-1100 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 6/28/2019 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES -ERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED TIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. RTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT RBN Insurance Services NAME: 303 E Wacker Dr Ste 650 PHONE . 312-856-9400 C No):312-856-9425 Chicago IL 60601 ADDRESS: ckost@rbninsurance.com INSURERS AFFORDING COVERAGE NAIC# 'e INSURERA:Philadelphia Indemnity Ins.Co 18058 INSURED ENERNOR-01 INSURER B:Indian Harbor Insurance Co. 36940 Energy North Inc. 2 International Way INSURERC:Liberty Insurance Corporation Lawrence MA 01843 INSURER D:Hallmark Specialty Ins Co. INSURER E:Great American Assurance Co. 26344 INSURER F: COVERAGES CERTIFICATE NUMBER:1488554210 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY MIFF POLICY IXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDM'W MM/DDIYYYY LIMBS A X COMMERCIALGENERALLIABILITY PHPK1837203 7/1/2019 7/1/2020 EACH OCCURRENCE $2,000,000 CLAIMS-MADE 7XI OCCUR DAMAGE TO R PREMISES EaEoccu ence $300,000 MED EXP(Any one person) $0 PERSONAL 8 ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICYEl PRO- JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Liquor Liability $1,000,000 A AUTOMOBILE LIABILITY PHPKI852029 7/1/2019 7/1/2020 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X Pollution X MCS-90 $ B UMBRELLA LIAB X OCCUR SXS0052210 7/1/2019 7/1/2020 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED I X I RETENTION$n $ C WORKERS COMPENSATION WCC-Z91-469101-019 7/1/2019 7/1/2020 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE N] N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Excess Liability 77HX18900C 7/1/2019 7/1/2020 $5M xs$5M 5,000,000 E Excess Liability EXC2275319 7/1/2019 7/1/2020 $15M xs$10M 15,000,000 i i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD (P `" y Department of Fire Services Office of the State Fire Marshal P.O. Box 1025, State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2019 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): HEG Inc. (ADDRESS): 2 International Way, Lawrence,MA 01843 gg is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)or other 9 structure(s)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER, MA 01845 (City or Town) I as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the ' ense if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Rec the �.2019..... .. (Signature) By ..........���--:.. 1 (Official Title) (C rk "" """' (State whether owner,occupant or holder) t cA. C� (Address) ( (( 1 !l ��e. O t r ► r/n S ENERNOR-01 ALEE / - DATE(MMIDDIYYYY) AC�R � CERTIFICATE OF LIABILITY INSURANCE 0612612018 ATION IS THI�TIFICATE IS ISSUED, ASAMAT OR NEGATIVELY AMEND,LEXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. IES S CERTIFICATE DOES NOT AFFIRMATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. Iovisions or be endorsed. MPORTANT: if the certificate sub ect to ADDITIONAL teTrms and co dftEons of D,the thelpolicy)certain policies es must have lmlayNrequiAL re an endorrsement A statement on If SUBROGATION IS WAIV 1 this certificate does not confer rights to the certificate holder In lieu of succh end Anthony Lee FAX PRODUCER PHONE (A/C,No): RBN Insurance Services A/C,No,Ext): 303 E Wacker Dr. -MAIL .aIee rbn500-com NAIC# Suite 660 INSURERS AFFORDING COVERAGE Chicago,IL 60601 INSURER A:Philadelphia Indemnit Ins.Co 18058 18058 36940 INsuRER B:Indian Harbor Insurance Co. INSURED INSURER C:Llbe Insurance Corporation ABS Fuel Systems,LLC INSURER D:Hallmark Specialty Ins Co. 2 Intonational Way 26344 Lawrence,MA 01843 INSURER E:Great American Assurance Co. INSURER F: REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: OD THIS IS TO E TT IFY THA ND NG ANY REQUIREM3URANCE LSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEENT TERMI OR CONDIIT ON OF ANY CONTRACT OR OTHER DOC MENT WITH RESPECT OLIWHICHTIHIS INDICATED. DED BY THE CERTIFICATE MAY CBE ISSUED OR MAY PETAN, THE INSURANCE AFFOR ONDITIONS OF SUCH POLRIC EIS.LIMITS SHOWN MAY HAVE BEEN REDUCED BY POLIC(PAID CLAIMS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND POLICY EFF POLICY EXP LIMITS INSR 2,000,000 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER EACH OCCURRENCE $ A X COMMERCIAL GENERAL LIABILITY 07/0112018 0710112019 DAMAGE TO RENTED $ 300,000 CLAIMS-MADE ❑X OCCUR PHPK1837203 0 MED EXP(Any one person $ 2,000,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY JEReT LOC LIQUOR LIAR. $ COMBINED SINGLE LIMIT $ OTHER: 1,000,000 A AUTOMOBILE LIABILITY 07101/2018 07101/2019 BODILY INJURY Per arson $ X ANY AUTO PHPK1837195 SCHEDULED BODILY INJURY Per accident $ OWNED PROPERTY AMAGE $ AUTEO�S ONLY AUTOS y�N Per acc dent X AUTOS ONLY X A�TOS ONL� $ MCS-90 5,000,000 X Pollution X EACH OCCURRENCE $ B UMBRELLA LIAB X OCCUR $ 5,000,000 X EXCESS LIAB CLAIMS-MADE SXS0052210 07/0112018 0710112019 AGGREGATE DED X RETENTION$ 0 L X PER OTH- C WORKERS COMPENSATION 1,000,000 AND EMPLOYERS LIABILITY Y 1 N C7Z91469101 0710112018 0710112019 E.L.EACH ACCIDENT $ 1,000,000 ANY PROPRIIETgOER/PARTNERIEXECUTIVE � N 1 A E.L.DISEASE-FA EMPLOYE $ 1,000,000 gandatory in NH)EXCLUDED? If yyes,describe under E.L.DISEASE-POLICY LIMIT $ 5,000,000 DESCRIPTIONOFOPERATIONSbelow 77HX18900C 07/01/2018 07/01/2019 $5Mxs$5M 15,000,000 D Excess Liability EXC2276319 0710112018 0710112019 $15M xs$10M E Excess Liability if more apace is required) DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD I01,Additional Remarks Schedule,may be attached CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE --] THE EXPIRATION AHE EXPIRATI' CCORDANCE W WITH THE POLICY PROEREOFVISIONS. WILL BE DELIVERED IN AUTHORIRIZ'EEDD RREPRESENTATIVE / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:General Businesses. 1 TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Busiriess/Organization Name:Energy North Incorporated Address:2 International Way City/State/Zip:Lawrence, MA 01843 Phone#:978-640-1100 Are you an employer?Check the appropriate box: Business Type(required): 1.❑✓ I am a employer with 250 employees(full and/ 5. El Retail or part-time).* 6. ❑Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7, ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. g ❑Nor-profit [No workers' comp.insurance required] 3.❑ We are a corporation and its officers have exercised 9. El Entertainment their right of exemption per c. 152,§1(4),and we have 10.0 Manufacturing no employees. [No workers' comp. insurance required]* I LEI Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:Liberty Insurance Corporation Insurer's Address:303 E.Wacker Drive, Suite 360 City/State/Zip: Chicago, IL 60601 Policy#or Self-ins.Lic.#WC7Z91469101 Expiration Date:07/01/2019 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine _ of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb ertify,under the pains andpenalties of perjury that the information provided above is true and correct. Si nature. Date: Phone#:978-640-1100 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person:— Phone#: www.mass,gov/dia G 11� (� Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2018 (City or Town) (Date) NOTE: Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): HEG Inc. (ADDRESS): 2 International Way,Lawrence,MA 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE F AMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of th lic s if said license was gran prior to J ly 1,19 Otherwise by the owner or occupant of the land licensed. Rec ' d �.2018......... ......... ... ` �(Siiggnature) By C.IJl�Ltalu................................. ( Ic itle) (Clerk) (State whether owner,occupant or holder) (Address) U t I q,3 ENERNOR-01 ALEE A`o/2n' CERTIFICATE OF LIABILITY INSURANCE DATE / 03/2912018Y) 018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. c NTACT Anthony Lee PRODUCER RBN Insurance Services PHONE A/C,No): A/C,No,Ext): 303 E Wacker Dr. E-MAI alee@rbn5OO.com Suite 650 Chicago,IL 60601 INSURERS AFFORDING COVERAGE NAIC# INSURER A:HDI Global Insurance Company 41343 INSURED INSURER B:Great American Assurance Co. 26344 HEG,Inc. INSURER C: 2 Intonational Way INSURER D: Lawrence,MA 01843 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE ❑X OCCUR EGGCD000209817 06/01/2017 06/01/2018 DAMAGE To RENTED $ 100,000 10,000 MED EXP(Any one arson PERSONAL&ADV INJURY $ 21000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 X JEST LOC PRODUCTS-COMP/OP AGG $ POLICY❑ OTHER: COMBINED SINGLE LIMIT $ 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO EAGCD000209817 06/01/2017 06/01/2018 BODILY INJURY Perperson) $ OWNED OS ONLY SCHEDULED BODILY INJURY Per accident $ E� p pWN AUTOS P ,P OP R DAMAGE $ X AUTOS ONLY X AUTOS ONLDY X Pollution $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE EXEXD000209817 06/01/2017 06/01/2018 AGGREGATE $ 5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN EWGCD000209817 06/01/2017 06/01/2018 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? NIA 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below 10,000,000 B Excess Liability EXC1603602 06101/2017 06/01/2018 Limit DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016l03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD t� Department of Fire Services Office of the State Fire Marshal '- P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2017 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): HEG Inc. (ADDRESS): 2 International Way, Lawrence, MA 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE FLA . MABLES OR EXPLO N NOTE: This certificate of registration must be signed by the holder o e license if said license w to pri to July ,1936, Otherwise by the owner or occupant of the land licensed. Rec v ...Cj�.2017......... ... ....................... •• (Signature) B}' (State whether owner,occupant or holder) (Official Title) (Clerk) (Address) i 1 The Commonwealth of Massachusetts Department of IndustrialAccidents } Office of Investigations 600 Washington Street Boston,MA 02111 www massgovfdia Workers' Compensation Insurance Affidavit, General Businesses AP licant Information Please Print Legibly Business/Organization Name: 1 , ' C)C Address: LI Id H jA city/State/Zip: t( I'Nhlne#: 1() 0 dq Are you an employer?Check the appropriate box; Bust,:tess Type(required): 1 I am a employer with 10 employees(full and/ 5• Retail or part-time). 6, ❑ Restaurant/Bar/Bitting Establishment 2,❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity, [No workers'comp.insurance required] g• ❑Ncn-profit 3,❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c, 152,§1(4),and we have 10,[]Manufacturing no employees.[No workers'comp. insurance required]* 11.[]Health Care 4,❑ We are a non-profit organization,staffed by volunteers, with no employees.[No workers' comp,insurance req,] 12.[] Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, **If the corporate officers have exempted themselves,but the corporation lies other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is provNin workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name,� /Z (L Insurer's Address; h �_�o < 152 . City/State/Zip: 01 'Policy#or Self W ins•Lie;k (A _ I 1-7 Expiration Date: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).. Failure to secure coverage as required under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cent y,under the aims an ialties of perfxtty that the information provided above is true and correct Si at ie• Date: Phone b ofJ`icial use only. Do riot write In flits area,to be campleted by city or town offletal. City or Town; Permit/License# Issuing Authority(circle one); 1.Board of Health 2.Building Department 3.City/Town Clerk 4,Licensing Board 5.Selectmen's Office Y4 6.Other Contact Person: Phone P. www.mass.gov/dia i 1 R ,r ' �' � CJhe l,ommt.[>7tN2ea-GLfz ad �//L�gptzciiu2e�0. i J Department of Fire Services Office of the State Fire Marshal P.O. lion 1025.4am Road.Snns. MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2016 tan.r,, mnm nmt,a NOTE: Complete mp and bounm ol'lorm and forward both section,and fee w Iocal I......me Authority lCo or ton,,Clerkl_ DO NOT RETURN FORM TO I nE DEPARTMENT OF FIRE SERN'ICES In accordance with the provisions of Chapter 148,Section 13,ofthe General Laws, the undersigned hereby certifies that: (TITLE IIOLDFR): LEG Inc. ODDRFSS) 2 Inferno 101,11 Wa+. Lmvrence. M a 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)car other structure(s) situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER, MA W845 00e nr TOxnl as related to the KLEPING. STORAGE. MAN FACYU RE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration most he signed by the holder of the license if said license was granted prior to.luly I,1936. Others,ise by the owror or occupant of the land licensed. _L 1 Receive C)c�.j_.. n � �`-� ......_. ,atn � (Official"I'ile) rClA, Mato xhemer nnner,nueuaam�r holder, ..............f".:}. Inddr. l The COninionweakh of Massachusetts Department oflndustrialAccidents Office of Investigations 600 Washington street UT Boston,MA 02777 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please print Legibly Business/Organization Name:Jld� ,.l-n C-1 - Lhff� er Address: �7� CVllckerlr ' City/State/Zip: {� /� �0�,yhone#:JILW3 - 7 Are you an employers Check t appropriate box: Business Type(required); I am a employer with . emploYees(full and/ 5. �Retail orpan-time).^ 2.❑ I am a sole proprietor or partnership and have no 16' ❑RestauranlBsr/Eating Establishment employees working for me in any capacity. ❑OtKce and/or Sis as(root.real estate,auto, [No workers'comp.insurance required] 8. ❑Non-profit 3.❑ We are a corporation and its officers have exercised the'a right ofexemp[ion Pero. 152, §I(q) and e ave 9. ❑Entertainment , w h no employees.[No workers'comp, insurance requvis 10.0 Manufacturing 4.E We are a non-profit organiZ;ndO ,staffed by volunteers, 11.0 Health Care with no employees.[No workers' comp,insurance seq.] 12,❑Other ^Aey applicant that ohe !cks box#1 must also all out the aecdon blow showing Neir workers mmpmas&ion poliry iN'ormation. ^^Ifthe mryorak officers have exempktl(hemaelvea,but the coryemdon has oNa employees,a worcen'wmpensaflon poliry Is required and t,a an uBanvation should check box ql. 1 am an employer that is providing workers'coauox Insurance far all,all,employees. Below Is shop olicy injorneatdon. Insurance Company Name [n, fNmpens _ Yr/ Insluer's Address: city/sate/Zip: -' 'Policy#ar Self ins Expiration Date: Attach a copy ofthe workers'compensation olio declaration policy page(showing the policy number and expiration date).. Failure to secure coverage as required under Section 25A of MOL G. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the funs of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a co py Investigations ofthe DIA for msehime Coverage verification. ofthia statement may be forwarded to the Office of y yy u�n,ae�r tl�e pm d penal(ar ojp rlury""a the Wormonon proveded above it true and correct. SilgiliftlLv Dgte, St1j�1lo Phoned. �7� �y�ob OJJlcial ruse only. Do not write in ditr area,!o be completed by city or town ofjtriaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Licensing Board S.Selectmen's Office 6.Other Counter Person: Phone#: j www.mass.gov/die ' WORKERS COMPENSATION AND EMPLOYERS LIAB1LlIY COVERAGE CERI]FK Al E INFOR-MA77ON PAGE Policy Endorsed Effectne 1/1/2016 to reduce payrolls per Clients Request Correct Imcation,a Automotive Industries Compensation Corporation P.O.Box 1528 Springfield MA 01101-1528 Information Page Certificate Number WC150016-16 Date of Issue: 12/0 U2015 1. Name of Member HLQhroa Mailing Address: 2 International Way I awrencc MA 01843 Additional Named Insureds: N/A Additional Workplaces 69 Parker Street, Lawrence, MA 01843 463-469 Haverhill Street,Lawrence.MA 01843 96 Pleasant Valley Street,Methuen,MA 01844 564 Checkering Road, North Andover, MA 01945 186-189 Appleton Street, Lowell,NIA 01850 2221-2225 Main Street,Tewksbury,MA 01 S76 224 Lowell Street,Methuen, MA 01844 262 Lawrence Street,Law,cure,MA 01843 1150 Bridge Street, Lowell,MA O1950 73 Plaistow Road-Haverhill,MA 01830 194 South Broadway,IawOunce,MA 01843 215 Dutton Street, Lowell, MA 01852 425 Markel Street, Lawrence, MA 01843 330 South Broadway..Lawrence, MA 01843 63 Plaistow Road, Haverhill, MA 01830 2. The certificate period is from January 1,2016(12'01 a.m. Standard Time)to but not including January I,2017 at the member's mailing address. 3. A. Workerh Compensation Coverage:Part One of the Certificate applies to the Workers' Compensation Law of the Commonwealth of Massachusetts. B. Employers Liability Coverage: Part Two of the Certificate applies to the sorkplace(s) listed in item 1. The limits of liability under Part Two are. Bodily Injury by Accident: $1,000,000 each accident Bodily Injury by Disease: $1,000,000 certificate limit Bodily Injury by Disease: $1,000,000 each employee C. This certificate includes these endorsements and schedules See Schedule. •. �`-•5�'•••�� �l� �r,Af.60ILLE¢CLGLIL OL �d[iCllt[bet-[4• Department of Fire Services --r Office of the State Fire Marshal P.O.Be-1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2009. (City or Town) (pate) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Haffner Realty Trust (ADDRESS): 2lmenmtional Way,Lawrence,MA 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)or other structures s)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER,MA 01845 (City m Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received .........2009......... B anet .. .. 'tc -........ (T. Y . .... ..... .. ............................ (ORciel Tide) (Clerk) ....... 2 INTERNATIONAL WAY LAWRENCE, MASS. 018483-1064 The Commonwealth of Massachusetts Department of Industrial Accidents ' — AMOAFAvoidpow _ 600 Washington Street Boston,.Afars 01111 Wwken*Compeuxdpa Insurance Affl&vk-General Basisesw .dare . 'tangy-i,[.<—Llir .�, pNe 11/$1143 VIKeN work site I.,im Mn edd.M, (] I am a sole propriela sad have no one Boduesa Type: ❑Retail❑Restauraut/Ba/Eating Establishment w kmg in any capaaty. ❑Office❑ Salts(including Real Estatg Antos oe.) ❑ I am an tm l with tm o full k art time . ❑Other I am m tmp5 pvviMW vnzkaa'c®Ptnszdm for Ty tmPloyea;Mft this job. Al Ile— u.. 7�LU �GZ - wMeYe 9951- & F3 l 1 Y 1 am a sole ptoprieta and have hired the independent c eactors listed below who have the 1b00'wm!«kaAr wmpensatim polieea: romP.er w.ve- - .darns: elev- Dhows Y• iwrwreeee Y cjt 7, D .� a/:-- g w d -Soo '53 - 7.SyP3 iv.wr. or - . Pdrre a wwme.re<rpr rrpad mWr 9uww ssA NMOL IS!en W r the 44uuatm Nntabd Pretnr Hw er.r a1•SN.N oLw .m yrr'1spN®mtr wwa r drspew.Rr.b d.frr Hw bTOP wORR ORDER rei•aw.Hf1N.N•4r ywlmt wa I:rMsbY that <ry r!thh.rtaer mqb br<rrdd r tb Offhe Nlmrwp[rm Ntia DG M e.rsap rvlll<wwra t dL he.by eofl�l' rirpam w/M%�)tid 6rinforratfawprarlJedwMre is bws a/twnC sipdnw /A�.•---'� ✓ Ate rMW meedr dlmtnrlb lelhhmNbwwm WWhr<[trer ens rMid <ity or,.ww: pcmWlbrr a OEaOdb,D"r,. ❑<hek I(,m du¢rupon<e brequlrN 0t'<rmmt,.on DArkh Depanmevt evtut penr: phom M, DO:her 0=rrN sK amp p .,b}- Carnncafr R ye -&zw�� ?�. Department of Fire Services a a Office of the State Fire Marshal P.O.BO- 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover Apr1130,2015 (City or Town) (Data) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES, In accordance with the provisions of Chapter 148,Section 13,ofthe General Laws,the undersigned hereby certifies that: (TITLEHOLDER): D.r�,,,„-R.,h5,:p st AkqS,. S, (ADDRESS): o2 Srrkma�h ana( (.0 u�, (awr•cnu yyy o/8U3 is the holder ofthe license granted(Date): 8/9/1982 for the lawful use of the building(s)or other structures)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSNES. NOTE: This certificate of registration must be signed by the holder of the license ifsaid license was granted prior to July 1,1936, Otherwise by the owner or occupant ofthe land licensed. Received .e�KV—aqe ....2015......... By Zm LL..//�•/ (Official Title) (Clark) ......•...•...... . .••` . ... .................. (Stele whether owner,occupant or holdar) e�X41P J` 'M MAW, cer MA . (Address) I d i�43 Cllenbt:1219431 HEGINC ACORO,. CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFlCATE IS ISSUED AS A MgTTEft OF INFORNARON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFlCATE DOES NOTAFFIRIMTIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUGES BELOW.THIS CERTIFICATE PR LI INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sj,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT:If ONE h~IN An ADDITIONAL INSURED,the poh—u0i"(mustbeendmsed.If SUBROGATION IS WAIVED,subjeettP Ure terms and coMitlons of the policy,certain pDllcbs may rpulre an endomemenL A Statement on this cenl0eate does net toner rights to the OPPI Rrate hold.in IMu of.urh endons.row(S1. USI Insurance Solutions LLC IKathy Wagner 123 fnrerstate Ofive F.A. 413-75"222 810337-94s1 West Springfield,MA 01089 r—tlsi.bls SSE B74-0123 NNNE BArFDROxIO co.aAae NAee NWReo ammua11A:Aulornotiva lndYBMiBS tome Gore NONE HEG,Inc. rxxleas: 2 International Way xauRue: Lawrence,MA OJW maumRo: IWURERE: WSYReRF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO OUTTFY THAT THE POLICIES OF INSUfUNCE LISTED BELOW HAVE BEEN ISSUED TO TIE INSUFEO NgMEDABOVE FORMS PDLICYPERIUU INDICATED. NOTWRHSTAMINO ANY REpUNEMENT. TERM OR CONDITION OF ANY CONTRACTOR OTIfflt OOCLee WITH RESPECT TO WHICH THIS CERTIFUI MAY BE ISSUED M MAY PFATAW. THE WSIJRAIUCE AFFO US, BY THE POLICIES DESCAUIEO HEREIN IS SUBJECT TO ALL THE TERNS, EXCLUSMS AND ,DHO,,ONS OF SUCH POLICIES. UNITS SHOWN MAV HAVE BEEN REDUCED BY PAID CtAIMa. R LiR TYPFOfNWRMICE PoIICY XV1pG O R P eFNgALLypiny Lxlls FACNOCCIpiRENCE f wuNwcwaexERU IDaEnr gAlu%uADE ��OCCIIR 3 LRn eXr f w m mAxNaxaMVNANY 3 GENFAALM.GIIEGiF S oEH\AwRFwTF ulm APPUBa PER: PoIICY LOC PRMICre-COSVNP A60 r AVrd10F4l INeanY 3 M wTo MLONNEO SCMFWID B°DE1WULPYahF" f WT05 BODLYIILURY Pxp;gl„p y INEDAVre9 :5ttzNNa P R 3 IRIMIILAIJAB OCCUR a IXCEaBWB EACH APPEWE e M YS xDB ADnREWTE f OR RETEMIONf A a9RRERF YUUr ATx1 F ANDEYxO,NYEFTTRppstMeluEEroorc�vv % WCi5W18/5 2I01201807/0/k01 % Roman. oTI. OµsFIC MBER EiIXUDFOfE� MIA EA EACNACpCeRi SIDG0000 I UWn,�-Ibl In Mfl 5CRIPNO1e OPEMT EL xSFARE FAeN0.0YFE 11000 ODO EL .Faucrtwr 11000000 IEaCNP1XIN OF OPERATION.I LOCAnpNIKMCLEP Ann,Aex1D... AE3hlo,ul Runnt�hNWb,Xmpe q,py�RXIM WalVer of Subrogation applles in favor of the Certificate Holder and all other entities So reg I ulmd by written contract. CERTIFICATE HOLDER CANCELLATION CITGO Peboleum Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE (Fax:713570-5409 THE EXPIRATION DATE THEREOF, NOTICE DUEL BE DELIVERED IN Transportation Security APT, TH I ACCORDANCE APT, E PMICY PROVISIONS. Specialist P.O.Box 4859 AVmuotn ReraeserrtAlrve Houston,TX 77210 01N a-EB10 ACORD CORPORATION.All rights reserved. ACORD 25(201WOEj 1 oil The ACOROnameaed"oarereglstered.M$.FACORD #S14250600/MI425OU3 LNIOCD Note: Complete top of farm and forward both sections and fee to local licensing authority (City or Town Clerks Dc not make application to department of public Safety. _ acn7 noauuea�Cli o�� i�aoaclivaetzy � �e�iamGinenCav�-C�itvre� - � �c�� ✓�-> an City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that HAFFNER REALTY TRUST 564 CHICKERING ROAD �m is the holder of license granted 8/9182 for the lawful use of the budding(s) or other aductvre(s)situated or to be situated at 564 CHICKERING ROAD sr,..s...,.no. as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: This application for cardBcate of regional must be signed by the holder of the license if said license was granted prior to July 1, 1936, otherwise by me owner or accmPanr at the land licansed. Received Submitted by y by aced,rut � __—_--___—_—_—_Q—%_________________/ —__—_--___—__ !{j '-'\ /�} lG'O�I77/I)2Q�I7 L(12CLLG7i�L G���CGLC.'�LIQ2(� q �a�iarlmcertGo��vxe �ex.xcea -2G,isr�ex�dwuredVCaraSe C-�amyc �ro�ronn y City or Town NORTH ANDOVER Date REGISTRATION nis a to cattily that _ HAFFNER REA1 Ty TRUST has.in accordance with the provisions of Chapter 148, Section 13,of the General Laws, filed wfth me a certificate of registration serting forth mat HAFFNER REALTY TRUST is the holder of the license graned 8 f 9 W for the lawful use of the building(s)or other structure(s)situated or ow to be situated at 564 CHICKERING ROAD NORTH ANDOVER MA. 01845 as related to the KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. Note:A rvmbefa at ragisaa0cw must oe filerf on or before April 30m of esior year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES R5;nKsee f%1 - Note: Complete tap of farm and forward both secdans and fee to local licensing atithoritY (City or Town Clerk), Do not make appffcatian to departrnent of Public Safety. �cmvnwncaetz�llz o�C/Glaoaczc�ivaeLt� �' e�airGrncnrt o�Cisine C�i�weaas — �vwaiaro o��'v,•s �revantion Clty ar Tawn NORTH ANDOVER Date_ APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148. Section 13, of the General Laws, the undersigned hereby cardfies that HAFFNER REALTY TRUST 564 CHICKERING ROAD mw d the holder of license grained R/9/82 for Me lawfut use of the building(s)or other sm ictum(s)situated or to be satiated at 564 CHICKERING ROAD as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMASLES OR L IXP OSIVES. NORTH ANDOVER, MA 01845 Note: Thfa apgranteplieaddnd /or ean"kO ee of m9careach must be signed by the holder of Me license if said license was poor ro July ', 1936, omerwise by Me owner or c=Wt df the land licensed pecan" Submitted by by �• day or — � •, � �onrirnoxcuea�C�i c��/lrxootcclu�aeC� 6' 3' aear�a� vxs Cezuires —� :wr✓rrdC�i.'oara�®C%anr.c ✓xop� City or Town NORTH ANDOVER Date REGISTRATION -hiss to certify net REGISTRATION Fa AT TY TRUST has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of regisimilan setting forth mat HAFFNER REALTY TRUST is the holder of the license granted om for the lawful use of the building(s)or other soucmre(s) situated or to be situaied at 564 CHICKERING ROAD, NORTH ANDOVER, MA 01845 5u�,earq n,my aS related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. ' swwowo�v.,ra. Nate:A cenMcaR of ra9seayw must be fiZW on or before Apd/30M of aeon yeah THIS REGISTRATION MUST HE CONSPICUOUSLY POSTEC ON THE PRE ?rI1SES F?'imuw'%1 Note; Complete tap of fans and forward both Sections and fee to local licensing authority (City or Town Clerk} 00 not make application to department of public Safery. ® �efion�'linenCa��'v�e Vsxw.cey — �y�,n _G�'vre �rar�nG.on Clty or Town NORTH ANDOVER Date_ APPLICATION FOR CERTIFICATE OF REGISTRATION In a=vdance with the provisions of Chapter 148. Section 13, of the General Laws, the undersigned hereby certifies that HAFFNER REALTY TRUST 564 CHICKERING ROAD �d b the holder of license granted $/9182 for the lawful use of the buildings) or other snucture(s)situated or to be situated at 564 CHICKERING ROAD as related to the KEEPING, STORAGE, MANUFACTURE CA SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, MA 0184 , Note: 77,a appfc,,on or cardbcate Of mVs=bon musr be signed by Me holder of are license if said license was granted prior rd July 1, 1936, Otherwise by me owner or o¢upanr of the land llcansetl. ReLaryed Submitted by by +wo+• �.m. ....,.a....emo.,.a.m.. card,rw ---__--------------------- —— — — -- __ ?� —__--_—___ \ arnmzaruuealClc r��le �ef>�Gr�aarrlq� --GxeG�rw.icier —�'Li+dax�ro<ticdC� Clry or Town NORTH ANDOVER Date REGISTRATION Thx is tO certify that xAFFNRR RFAT T'v RUST has, in =orCance with the provisions of Chapter 148, Section 13,of the General laws, filed with me a certificate Of registration sethng lorrh mat HAFFNER REALTY TRUST is the holder of the license granted A/9 182 for the lawful use of the building(s) or other sbucture(s)situated or to be situated at 564 CHICKERING ROAD NORTH ANDOVER, MA 01845 as related to the KEEPING, STORAGE. MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ' s4.va.amaem�rw Note:A car Ict"of MWrreb&rrustrae eed an Or before Aprif JoM of each year THIS RE•31S7RATION MUST SE CONSPICUOUSLY POSTED ON THE PREMISES ''-�Imnsea]961 Nate: Complete top of farm and forward both ...tons and fee to local licansing autharity (City or Tawn Cleril Da not make application to department of public Safety. J10 ��c�ra�ta��� Veruece6 _ '�i geC�� ✓Z' >z CRY or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisioG of Chapter 148, Section 13, of the General Laws, the undersigned hereby barflies that HAFFNER REALTY TRUST 564 CHICKERING ROAD a the holder of Scarce granted A/9182 for the lawful use of the building(s)or other snucture(s)situated or to be situated at 564 CHICKERING ROAD as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF RAMMABLES OR EXP, OSIVES. NORTH ANDOVER, MA 01845 NOW This acpPntion for cartiNore of regis,,OO,,must be signed by me holder of me license if said license was granted prior to 1/4 1, 1935, otherwise by me owner or ocupant of the land 6cansed, Recsrvrb Submitted by by ----------------__——— .uu.,. ----------------- � ., � �c�ammco�zcuealtLc r.�C�/�`rsQaac/ucaeC�• _, 90__61 ent g� �usC fepr riea—�Cirdex�nvx.�ed e5'Coma�a�am/c � , Cityor Town NORTH ANDOVER Date REGISTRATION ihis u to certify that HAFFNER REALTY TRUST has, in accordance with the provision of Chapter 148, Section 13,of the General Laws, filed with me a certificate of registration setting forth that HAFFNER REALTY TRUST .Ne holder of the license gamed A/9/82 aW for the lawful use of the building(s)or other structure(.) situated or to be situated at 564 CHICKERING ROAD, NORTH ANDOVER, MA 01845 as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. • s'vuM.moev. ra. Nate:A caretca" m of nh9mca ust be Weq on or before Apnl 30m or each year, THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES .�.=tre.uaa'1as1 - Note; Complete top of form and forward both sections and fee to Iocai licensing authcrfty (City or Town Clabr*4 Oo not make application to department of Public Safety.my _ � � ��rrumo�ruue o�C/l�czc�ivae� _/Je�G}rtrrct a��rire Cle�rucr,93 — �vwnaarro o��tire ✓�-rausntiarc City or Town NORTH ANDOVER Date_ APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provsons of Chapter 1A6, Section 13. of the General Laws, the undersigned hereby camfies that HAFFNER REALTY TRUST 564 CHICKERING ROAD 4 the holder of license granted 8 U8p for the lawful use of the buildings) or other structures)situated or to be situated at 564 CHICKERING ROAD s..w.a,..,e. as related to the KEEPING, STORAGE.MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: This aPp4vdon for camficare of negotiation must be signed by the holder pf me license if said license was gramed prior to Jury 1, 1936, otherwise by the owner or ce pant of the land licensed.. Received Submitted by by aae�_a -----------_ --- ----------.—_---___— 7NMV co7r�maouuealC/z €, �' �e�rrcam.Co��1s?:Ye G�/ewocces —��,i/ndeu�rouwxa�CJtor¢r�e C%ain� ✓xa�rdrn City or Town NORTH ANDOVER Date REGISTRATION This a to csr lfy that HAFFNER R A TY TRDST has, in accordance with the provisions dl Cha pter 148, Section 13, of the General Laws, filed with me a certificate of registration setting form mat HAFFNER REALTY TRUST is the holder of the license granted R/9/82 for the lawful use of the bmlding(s)or other strucmre(s) situated or oa to be situated at 564 CHICKERING ROAD, NORTH ANDOVER, MA 01845 as related to me KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. Note:A oamffi=e o(mq sv v&mus+be Ne:f on or batons Apnl 30M of each year.THIS REGISTRATION MUS, BE CCNSPIGUOUSLY POS i c0 ON THE PREMISES P-?!nwea-me) IC[e�pp �s..,. y.r C11ze J tf` o Department of Flre Services Office of the State Fire Marhal P.O.Box 1025.Sure Rued, s Stow MA OI CERTIFICATE OF REGISTRATION North Andover April 30,2014 NOTE:Complete top and bottom of form (chy m Tows) D N RETD FORM T and forward both sections and ftt to local Licensin (City (Dete) In accordance with the THE DEPARTMENT OF F R SE yl L' g Authority Provisions of Chapter 148, Section 13,of the 7 s that: : Town Clerk) (TITLE HOLDER General Laws,the undersigned hereby certifies that: (ADDRESS} 2 nterns a eral Realty Trust y Lawrence,MA 01843 he t is holder of the license granted(Date): 8/9/1982 is for the lawful use of the buildin 'trOctur"(s) situated or to be situated at (ADDRESS): 564 8(s)or other NORTH ANDOVER,MA OI84 Ch 0184 rag Road 5 as related to the KEEPING, (City or Town) NOTE: This eerlirmateof STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES.n;ate registration must be s eived igned bY the holler of the licanae Rec herwbe by the owner or uteupant of the land IleemM. i/uid Ileense was granted prior to July i,1936, .. EY .... /.'C/ .... ial Title) .(c' )•.• /� "Wmre �r✓.G-/LCQ�..... ✓Si me ............ / ther ow,ar acu.••..•..••.••.•••••.••.• (As) �qto—`"> Clot.¢ lRlrLffL4/NLE[!-GGh. OL .�/uLa(1{[CfLil4Pntq, &. 4 Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover ApH130,2013 (City or Town) (Dare) NOTE:Complde top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETORN FORM TO THE DEPARTMENT OF FIRE SERVICES, In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Haffner Really Trust (ADDRESS): 2ln1emational Way,Lawrence,MA 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the buildings)or other structure(s)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSNES. NOTE: This certificate of registration must be signed by the holder of the license ifsaid license was granted prior to July 1,1975, //-otherwise by the owner or occupant of the land licensed. y Received . 013......... Ia-L(..t By ....... ( tlTine) (Clerk) . esq a•.•••— (State whether owner,occupant or holder)............ ...................(Address) The Common wealth of Massachusetts Department of Industrial Accidents Offue of Investigations 600 Washington Street Boston,MA 62111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Anolicant Information Please Print Legibly Business/Organization Name: Ia(Illet 8 Service S�tiorre.him 2 Intemagonal Way Address: Lawrence AIA 01843.1 City/State/Zip: Phone Are y an employer?Check the appropriate box: Business Type(required): 1. I an a employer with pO employees(full and/ 5. []Retail or pert-time).• 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ 1 am a sole proprietor or partnership and have no employees working for me in any capacity. ? ❑Office and/or Sales line).real estate,auto,etc.) [No workers'comp.insurance required] g. ❑Non-profit 3.El We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152, §1(4),and we have 10.❑Manufacturing no empldyees. fNo workers' comp. insurance required]' 4.❑ We are a non-profit organization,staffed by volunteers, II. Health Care with no employees.[No workers'comp. insurance req.] I2,❑Other - "Any applium dwt checks box#I mass Ws-fill out(he section below showing their workers'wmpensnion polity inforrnuion. "If the-wram.M..line exempted themselves,but the wT0af0n has other employees.workers'compensation polity is regniad and such an otganivtion should clink box#L lam an employer that is providin orksrs'co pensafion insurance for Tar employees. Below is the policy information. Insurance Company Name: ✓Ld �-,� // j�.r✓� �/ Insurer's Address: /�9' co • O( e F0 City/State/Zip: W Q.t(/,Ld-LU W / S'(5O per]— Sbs'O Policy#or Self-ins.Lie.# Le Z-3/ 5 - 3 G4 95 7-o Expiration Date: CC/ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date} Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a Fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c der the pains andlpenahms of perjury that the information provided above eiis'true and correct. in ture Date Phane#' / / b ' (O 03 Offuial use only. Do not write in this area,to be completed by city or town official City or Town: Permil/License# Issuing Authority(circle one): - - - - 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Licensing Board 5.Selectmen's Office 6. Other Contact Person: Ph.ne#: wwwmazs.gov/die u 3 Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2011 (City or Town) (pate) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICE . In accordance with the previsions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Heffner Realty Trust (ADDRESS): 2 International Way,Lawrence,MA 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration most be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received .. t.�. . .. ..2011......... t y%........ . BY Rx�-�. . .y:4.:. .... tcial Title) (Clerk) •. he .rc .. .. ..•....• ...••...•••.. (Slate wtMr^w"^r. ca,wnt nr Mlderl 2 INTERNATIONAL WAY "' "" LAWRENCE, MASS. 018483-1064 " ---- The Commonwealth afAfassachusetts - Department oflndustrial Accidents Amara 600 Washington Street �. Bastan, Mass 02111 Worken' Com eagtlon Iasarana AtBdavk-General Busiaessea �V71 wmlc site laotia I"eddmsel: ❑ I am a axle proprietor and have no one Bnaneaa Type: ❑RuaB❑7trsfaUrOWBy/Eating Establishment waking in say capacity. ❑Office❑salts(aeh,diag Rral Estate,Antos a;.) ❑ I am as® 1 with em to till &part time . ❑Other I am an®PI%c Frrovk-g vtvrkaa'—Pmsaum fQ my®Playeas wQ]®f out this,joh. + mm�.mnum NA�FdER 's SEk✓ieE SrIfnit05 27WC I .dare..: o�SA/YER (J4Y/BN fL LJAy tom: 2AaIXE[ cE /i9h -3Itel7�1 �p,..n.nr. ,�/Q�t� //�Vy'VfkL �y�(✓/' •: mtw L(,Cl- 315-_ �G9���iG' I am a sole proprietor and have hued the mdepadent conawtors listed below who have the following warkm, wmpasatia polices: com sons v.rr- .ddre.s: city: h ! iv.ureece ew ILI a rom,reev vale:: /�Oet ,7 3 /,V, tr7J9L CV I .darer: �D/3o X ID 9D msursaee ev. �rmm�mm -•r-�a ` l 'l S - 3/C-i� �-ri <' t uv,. a rnpmrd mas 9.etr uw NMp,]3T u.had r du tmp..arn orerir,a.,p..4 N.thr r J13M.N.Yhr s yrn',rprY..mtrw.ar.ha pevtr rm.rrm N.6TOP ROp1(ORDIaJt.d.ay..rs]w.a.a.t.a.p.e ma tieaenrr tt.t...pt.(thr arm..t mq6.rr...rded r the 0,14e Nlv.setpti.s.(tY(tlArr e..mp.arflbtra I d.Fereby dmFa ahr s`Plelr'.Mt7.fea!A"Yth'nthe inf.m4aaapr.rtded abarr k&,,awlar.rntt ate tea,isms e��con �J', tla �- Phone. 9 78-,, 93 — a 77/ .lacrl me nary d.mwrtr W aW.rn r be rorvpletd�clry nr rw.aa1.1.i Oimmtw➢grnmevt O che.k dlmm.dule rrpsrav Y re9Wr,d I]L nnot ,E •N Osetre�.v'.oar v.r penou: phase%; OHatM 2kQ•ttmeet Oothr ^?1GOn_A�ss;.a, rrc<i Vf{G I.OfMI1.QfL4ZP-Q�G/L OL CfL(l6e�d 2 JJJ Department of Fire Services Office of the State Fire Marshal P.O.Hon 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover Apri130,2010. (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fm to local Licensing Authority(City or Town Clerk), DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Haffner Realty Trust (ADDRESS): 2 International Way,Lawrence,MA 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER, MA 01845 (City a Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was nted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received J.....�3 .2010......... n, .........'................ Slime mc) By . .aa t. k1?4....... . .n nt2c a ..................... (Official Title) (Clerk) (Stare whether owner.4cauoenror holder) 2 INTERNATIONAL WAY "' LAWRENCE, MASS. 018483-1064 The Commonwealth ojMassaehusetts Department of Industrial Accidents - amarAMJMWA, 600 Washington Stred Boston,Mass 02111 Warkm'C aLnraaaAmds*-Gowd Buneeaa varne: 0 �dre LR-�[id--cetr ✓ � lU . city �awc Lt. •Y• J eb a -/7rS sit.town ❑ I am a s le pruprietar and have m one Badness Type: ❑lictad❑RestaaranUBar/patmg P.stablishmmt working in soy capacity. Og Elee Sales(including Real Est gcS Autas de.) El am ao®ploys with =Ploy=(full &part time). �Otha j I am set®PBYQ providing warkee'camper M-an Rt m emPI a wortiug m tbic job. row .e n. '_ ti�L%(/7%J/ _Lh -f- I P . I am a dote prolaiUa and have hued the uMeymdmt eeaaaetas listed below WU have the following worlcen'... Weapeasatia police: .da . . . '; ;.•..r in.nraeee ea dtdv .03 P avre P mgskM mama..a.a 2fA SMPWORICORD Yprmm NnYldpmdty N.tY.�Yta,eN.N WYr.myrr•�t.a..mmtrsr.ard aPm.w..YM.Drr N.6rOP ndw DIA Dp[ma•MNa1N,N•aA.VY.ds Imdr.bY lid wy.I ur.Yem..r myb Nrwrded���Yjjte.omr NleroptYm Ntb.DG rre..u.p..nay.s I d.i.rebr m* pdf+am� �l�lml Mat ar inferrmi..prwiGJ.haa I,&w aa1.+.rwx sigmtme a.-�= Date 3 — ,R 9 — i o 13iete® /�- LetTz/di CIZ PbomP cJ78e- (or63- .� 77/ .fflehl mes.b d-a twdYYthl..rm Yb.—M"Wbtdtyw Ym.M w PrrWar.mer �IIWIdi.r lkprireer ❑.n.rk uvm.dm�..,p.m.m requird Ou..rhq e..r� Os.l�rmw.oft. ..rvn per.v: ph..p; �Av Dep.rtm.vt �v..e seµ amp �Ortrr °"'" TOWN OF NORTH ANDOVER OI �H . O 3e a` • • ° i i b''".,,o.•"'A9 DAREEL LONG, Town Clerk 95TAC NusEt ELECTION DEPARTMENT TOWN BUILDING NORTR ANDOVER. MASS. 01845 Dear Friend: It is required by law that you be notified of the following hearing as being one of the said abutters adjoining said property involved: TOWN OF NORTH ANDOVER MASSAOHUSETTS ♦.,A e ° ;x �aw1CMY 5E4 LICENSING COMMISSION Notice- is hereby given that the Board of Selan- man,Town Of North AnOov- wlll bold a public hearing August 9, 1902 at 7'.30 P M. on the applkation of HAFFNER REALTY TRUST 69 Parker St. Lawrence. Mass. to stare 6,700 gal- lons diesel fuel.This bull In as cored underground st 564 Chlckering Road,North Andover,Mass. Thomas J.McEvoy R.Louis DeFrusclo John W.Graham RaIDN a.Joyce Gherles A.Salisbury Board of S.IoU net E-T—July 20, 1982 If you have no objection to this license being ranted, it will not be necessary for you to attend the hearing. Please call upon this office at anytime we can be of any assistance to you. inter y s, Daniel Long Town Clerk i o, j N re=� lOX.5-a4-94M)i t fir C�nnu�umuuttlfh of _41ittsstt�tsr pq �fyFz I DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON No Andover Jubr aU 19 82 (ay ar To.ea) (ache) APPLICATION FOR LICENSE For the lawful use of the herein described building_.. or other structure...., application is hereby made in accord- ance with the provisions of Chapter 148 of the General Lana, for a license to use the land on which such building.... Or other structure._. is/are or is/art to be situated, and only to such extent as shown on plot plan which is Sled with and made a part of this application. Location of land..........._$6,4,_Chj,,g.$e;}ng.._Rd.r..........Nearest cross street._]?ledsdgt._„s tray a umber ... ............... Owner of Iand.Ha££ner(S...R ty...�Lrust..................Addres 6.4...P.az .L ne. ker...St.. .. awrec .....MdE.@....._01843 Number of buildings or other structures to which this application applies........One................................._......_..................._..... Occupancy or use of such buildings.....GASO11A.e...S,PL'.y1C 2__8ta jjpn.............................................................................. Total capacity of Lanka in gallons:—Aboveground...... .......... . '/ \ . .....................................Underground ..41..S.Q.9.._Ga18...Exiats Kind of fluid to be stored in tanx4,Aieael..EueJ, ...,,G>�Q22'Lc— -6R 700 .Gal. Pioposed Cpprovedd Da=ppyoved ....1 \\\\ Illy, (sira.a.e a( Aenie.m) .........yC/Gw... .......... ............................. 69...Pa;ker...St._ . ._.........._(H-d of Hrr Cent) ... a r._.L.dWrenCe.,...M4sa.._.01843 (Add-.) ------------------------------------------------------------------ � �I�r (�ammuixwrttlft� of 9lllttesttrl�ixsrffs DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON �^^ n (city or Torn) (n ta) 19 In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use the land herein described for the lawful use of the building.... or other structure.... which is/are or Were to be situated thereon, and as described on the plot plan filed with the application for this heroine. Location of land .............................................................................Nearest cross street ............. (Street a Number) Ownerof land .........._.._......................._..._....................................Address .............................................................................................. Number of buildings or other structures to which this Gcenae applies ........................._...... Occupancy or has of such buildings ......_.......................................................................................... ...................................................... Total capacity of tanks in gallons:—Aboveground........................................................Underground ............ .................................... Kind of fluid LO be stored in tanks .......... _........................... Restrictions—If any: ........ ...................... ........_........ ' .......... ... . .. . ... .. ... T aeluee of limnsiar authority) �� N OR 0 Punincra r.� . • res5 •' CJfLe l.o'�iu of �. i ml S Department of Fire Services ` Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2012 (City or Town) (Dam) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that (TITLE HOLDER): Haffner Realty Trust (ADDRESS): 2International Way, Lawrence,MA 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)or other structures)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER,MA 01845 (City w Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. (� / Received .�/.�d..r�. ....2012......... { (Signature) / By ... A?;r�l(.A44. -:�..�.. .............Q. ...� ....................✓ Official Title) (Clerk) Store whether owner,occupant or holder Address OL$ The Commonwealth of Massachusetts Department oflndustnalAccidents - AmarANW#Al w 600 Washington Street Boston,Mau 01111 Workers' COMWEMfien Insu u Afndavk-Cncral Bmimeaea .adman 'tv ©�143 Rb # q-l% G83 work site loatim/fdl.ddremt• 0 I ae a sdeptoprraor and have one Businew Type: ❑Rehd RNammt/Bm/Fatmg Establishment Wurkirg in -Y capacity. n Offue❑Sale(including Real Pstate.Antos ec.) I am au® 1 with .a - ten to foil & art time- 0 Othe I am av euplgc p1 aysdmg autos' mmpmsmim toe mY employee w UngTon this,job. romo�nr vN r- .ddm.: (t.A,4s.+" #- IQrIL-1PM solC.:- . I am a e proprietor and haw hired the independent==actors listed bdow who have the fOHvW tgMbut, wmpmsatim pair, romv�av v.as:. .ddred.: .: . iv.urevre e.. lkr a h Ni e.mpvm vale:' . eddren: .i IvdareQee ea P.Ibn b.clP.menprr.I..ft Ode3ra.v f a. roden R bIb IgwmmH Sjsk ymdllr.f.lL'bS]jaawM t.r .m yen•aePr..ay.mt r war slra pm.kb b tlr been Na=TOP coax oltD&R.ad a M.HS]MNa in.pyQn vv I mtla.u.d the cdpr.t tW.brfre.f.rrbe/Horded b We Omr Hlmrtlpaem H W.IMA 4r...raa...ratatlr. Id. Bereby daf& hep®t.aadpdedttm eJPerjery thenfhc inlurrmtoaprorlded ah..ebtddte.wJ e.rredY Sippvhvs w".wI.S S.9.v.s� Date V - �' -tZ. rhme#_ .fMul md.dy devetwrm bW%m ftb.msPkWbrdymt.ay.mdW edy.r bA.: Prmv/Yeere d �)9alld�netrrtreet ❑rheek ai dLre ropove Yrequfred B..rd �8.betmev.Ofhv ovnct penile: ph..M, OB bb @p.rtrvevt OO Wm a Fyle)s'-.ar�r. Commonwealth of Massachusetts x , Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Slow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2008. (Cityor Town) (Done) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES In accordance with the provisions of Chapter 148,Section 13,ofthe General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Haffner Realty Trust (ADDRESS): 2 International Way,Lawrence,MA 01843 is the holder of the license granted(Date): 8/9/1982 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 564 Chickering Road NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was is to prior to July 1,1936, /�� Otherwise by the owner or occupant of the land licensed. Received 4'.f+r ..41e(..�.......+7.2008......�.. � ��1.....N!!n!:'�.:t...... . ......... ............!:. By�arul ..G1� �?.f [Pt/Z (si (official Title) (Clerk) / p...... r.. ). ................... •••••...(53mm wheth ncr.erow eccuainernmr Kn�a — 2 INTERNATIONAL WAY LAWRENCE, MASS. 018483-1064 eltrr hem k• inrurenes ea Dennis .n, 97pd7 insure..ea �� t fit. - nenee! P.Nv r . e a regWrN Wm4oe.a.e MAHMp.132m Wmtb lmpam.a Hrrimb.11mmleb of.Mao aPb7l.lN.N sani%r ern yen'�prMasn"n m nA m n.0 Fmltlm m fb form Ho SrOl ROIa!ORDPJt.d.no.NSIN.N a Ly.pmae am I.adenmJ for e.py.I thY.l.ime.d a.y M l�rwerded M IM Onke.l levmllptNm HtY DIA fe..enp rnak...a f de hereby a fj' anti the pwiy pe altfsa%rjer�tAal hs lnfermmloe providd abew L/rre ,r r' sipsone 7 Q' n f Date 37 3 Prevent® Pb. # 770- � i3- 277/ Rkm lme.alr d.mtwrlleb Nb.r.to 6e.mpWyhr.Rymlan.SleY dty or r.wrr �tyyr tr -OMWti D.P.remo� ehak dlnmed4h rop.me h rrqulred ll..�w�� N OL*Mftg Be" Umlm 'a Oman ..ten p... phe.p; DepartWnt 1'0dseerann r. The Commonwealth efMassaehusetts -- Department of Industrial Accidents I�.YNi7 600 Washington Street Boston,Mass. 02111 Workers' Com cuss kus Insurance Affidavit-General Businesses / (AGFeI�Rs ��R✓tcs 7.�rion�5 ✓c address./ -2 r/yTE4101f7—l0,t) 4L r��At/ / p .. G s4/I)iQ F 11 ty r= star« /�ll in. 4 1,l'r/) ohom a % !�'—�6"3—.Z 771 /UGy nork site lomti (Poll eadre )- ❑ I am a sole proprietor and have no one Business Type: ❑Retail ElRestamnBNBar/Eating Establishment working in any capacity. OtBce❑Sales(including Real Estate, Autos etc.) ❑ I am an em to with em to (full & art time). Other Rsto an employer providing workers' compensation for my employes working on thisjob. rom av vame: (' ��� Aell>?o ✓ER 1A phano0: ivsuravee ea. '� T' li q I am a sale proprietor and have hired the independent contractors listed below who have the following workers' compensation polics eme� odd.... qv. phone N• insurevre ea Ile e oYe addr ess: 0D /� '//%r/�76p1 �l 'tv iesuranee eo. . ' L li # ��� � — ��✓ r7�3 Enure to snwe avenge m requtred vvdn Sr<ibo 35A of MGL]52 my Ind m the impmiMe of nrmlml pemtdn of a flm yv to g1,5oo.da.Pdlor on.yean,,9 Poo of my x royo elan to is the form of.STOP WOES OBDEB end.fine of g on •daY aevimt eta f uedent.ad fha. Dopy of rho eetemea m.r b.formrded to the Olfke.f Investigations of the DIA fer avenge veraket4n I der hereby rafffy rmda/lAepaina andpmaltiea alper%wry that rke information provided above is trrae and corre2 Signature Data ✓�2—c+6 Print mars, Qete,� : lAe-�i Plum# 978 ofBeivl me sob M not sortie is this area In be omptaod by pity or totm.11kW cltyorte : PoasowYemoot OBvilding Depertmeet �Lluming Bovrd rbnk If Inmedlau respome b ro,u cd OSelntvue'a Ottke OHmlth Department oamrt penaa; pbnao e; 00ther ,—, s Z) Nate: Complete top of fans and forward both s ' authority (C7ty or Town C7er4 Oa not make ecdone end fee to laoal I(pnsin apPl(cadon to department of Puhlic Sa ary, I �°�'nrrtl y�C">SiKe C/exurca�. _ �y�raeon o��riKa �xev„rhare Cltyor Town NORTH-_Oats APPLICATION FOR CERTIFICATE OF REGISTRATION In agrdance wipe the provisions at Chapter lag, Section 13. of the General HAFFNER REALTY TRUST �"�• the undersigned hereby cartlfies that 564 CHICKERING ROAD is the holder of license granted8[g/82 -m.. to be s ated at 564 CHICKERING ROpp for Ne Iawf"use of the buildin 9(s)or other struoture(s)situated or as related to the KEEPING, STORAGE, MANUFA �--- p' CTURE OR SALE OF FLAMMA �- --- � ivGRTH ANDO ER, i-0A 01645 B,S OR EXPLOSIVES. NOW 7his appfrgson/orce roAcare of registraacn must be s Rec - `/ 9ranredpnar la Jury 1, 1936, memeee by be 11n*d py molder o/the license if /xensa was need. by Submipeo by t lam. — - — — A Z, r I HAFFNER'S SERVICE STATIONS, INC. CITIZENS BANK ^� 2 INTERNATIONAL WAY LAWRENCE,MASS. 01843 53-7513/113 7 A CHECK NO. 57448 448 DATE CONTROL NO AMOUNT 1 PAY TOTNE �,P ORDER OF _ m) r y�y/y , �F E SSE E STATIONS i J IU 1 ;/ 7I� _ OMOP¢m SLLYVATURE _„ � �'057448n' S1351. 339g000i; 4ii• i nnrrnon u xn r�w a�n u..,.a, uw. CHECK NO. 60444 ------------ URREENO. YOURINVOICENO. INVOICE DATE INVOICEAMOUNT AMOUNT PAID DISCOUNT TAKEN NET CHEDK AMOUNT cgJ9 03/20/07 1C ). 00 1.50. 00 0. 00 �50. 00 HAFFNER'S SERVICE STATIONS, INC. CITIZENS BANK 21NTERNATIONAL WAY LAWRENCE,MASS. 01843 53-7513/113 60444 CHECK NO. 6 DATE CONTROL NO AMOUNT *4:4.41.50 DOLLARS AND NO CENTS4.**t 03/20/07 4:1 CO. 00 55 PAY 7 TOTHE TOWN OF NORTH ANDOVER ORDEROF OFFICE:: OF TFIF. TOWN CL-E:RK. 120 HAIN sr. NORTH ANDOVER., Mn 03.84'_ E 'SSE ICE STATIONS,INC. —LI'/GAF N TJiNLfl12m51GNANR=_____ 1106044L.n• 4011375i3sn 339900 44n• Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application �todepartment of Public Safety. �\ �CiY%I/I%'64�J2L(12t2LLlZ dL (J/(� ydLl/32�6 "0. �efiaixtincneCa��'i�e Vuwueira — �vu�aernc o��' �irauanCean Clty or Town NORTH ANDOVER Dale9pici607 APPLICATION FOR CERTIFICATE OF REGISTRATION In acardance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby cantles that HAFFNER REALTY TRUST .wmo..etir.... 564 CHICKERING ROAD .m..r is the holder of license granted 8/9/82 for the lawful use of the building(s) or other structure(s) situated or to oe situated at 564 CHICKERING ROAD n as related to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMAELES OF EXPLOSIVES. - NORTH ANDOVER, MA 01845 rr> Note: this applicaticn for cardfirate or regachicon must be signed by the holder of Me licansa i4aid license wa granted prior M July 1, 1936, otherwise by the owner or ocup r, N f I dlics ddad. Received ( r Submitted by / //D . .mow. - _ The Commonwealth of Massachusetts Department ojlndustrid Accidents ti AWW&KANNISPAOM 600 Washington SWY& Boston,Map. 01111 Workwe Coweenxdm hnr=ce AM"-GmM Bedmun A{AI't'N_F,'� S SEt2vr"c.E STis�i� ciys %�/L+ ,�� � .Zry7'ERtYf}7- ioNA.C. LUQ- , w 17F41 zi. r work nib local !Belt addrs k ❑ I am a wle proprieter and have ne one Badzea Type: ❑Reta17❑RcoawmvBa/Eatmg Establishmmt working in any capacity. Offre❑Sala(including Real Estate Autm etc.) ❑I am an® l w ith om to 'bB& time. Other I am an employer providing workers•cXISIpensa1int dlr my unployeea working o■�/thiaJAA S eom .e e.Ym W4F N- . � .IS -S . J ..U•l T Ti �`� t'..1: .ddrcas dtr, 11tu.Dn uE2 CIA . e:a..r 9�f1 6 di-ys2a i am a Nle preprielor and have hired the independent contractors listed below who have the following workers•.... compensation pohem: .ddr.ur eta, A..d. dt" L'Pitti9RELL .6- mmoaer e.obl� . dw.. ivay.4xe�enmapmneaa.i eWwBMY.]SA NafCL ISam WYH.t.*.rabe Nermldprllr N.or ybfl�aLN.Jhr .m y..r.•`prM®elm.ho drift rYe afx N.oe. ftDu D��iad.Nf1aa.N.4r.pimt ma Iietlen4Yfbf c•pr•!�m aM1Y.eN mqk.aY..rad 4 W otlk.NN.nepWs NIY.OG br..w�apwatlbe.w t dv an./p resin/eee.N.epr..&W.ere harrb ewrae[ .fnewl me..b Neat wilh 1p lhY.ru M1ke neq,krea EJ dry sr bne•RkM1t eur.r tw.: pemwa.ea..e l7B.oa4:thprrmeot (]ekeek alemedYM1 rnpvvw k requVN ��awN i]releetmu'.01nes �86M Dep.rbrvt a'.vM1vt perwv: phvvr N; iTt)aer �e ay.ami i TOWN OF NORTIPANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 MO OTN, Joyce A.Bradshaw Town Clerk ;Ox Te 8) 01 FAX(978)688-9557 �b 1,SS�CNUSE�Ih Haffner Realty Trust 2International Way Lawrence,MA 01843 March 16, 2006 To Whom It May Concern: Enclosed please find your 2006 Registration Renewal Form(s) for above ground and/or underground storage tanks listed at the address(es)on the enclosed form(s).. Renewals are due April 30 of each year. The fee for renewal is $150 per site. Please sign the top portion of the registration form and return it with the appropriate fee, payable to the Town of North Andover, 120 Main Street, North Andover, MA 01845. The bottom Portion is yours to be displayed alone with your license Your immediate attention in this matter is greatly appreciated.. Very truly, P'�e O :�� Joyce Bradshaw Town Clerk Enc. Note: Compiete Will of form and forward both sections and tee to laaal licensing authority (City or Town Clerk. Do not mak ttapplicadon to department of Public Safety. � �ariminwouu�ecz�Z o���c>r�a�zc`u�ae�Zy Je�ia�rGneerxCa��rike Flvrveira— ?� o��rixe �ra+le�rG,an City or Town NORTH ANDOVER Date lL W,d0a0 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148. Section 13, of the General Laws, the undersigned hereby certifies that HAFFNER REALTY TRUST .swam.em.. 564 CHICKERING ROAD .goo... is the holder of license granted 8/9/82 for the lawful use of the building(s) or other structures)situated or to be situated at 564 CHICKERING ROAD su.w,mo.,w as related to the Ke ING, STORAGE, MANUFACTUF15 OR SAL OF FLAMMABL9S OR O(PL OSIVES. NORTH ANDOVER, MA 01845 r.rd ww Note: i his application for camfidele of registration must be signed by the holder of the ticmrsa it said license was granted prior to JuN I, 1936, otherwise by the owner or ocupant of the tend/icansed Pecil Submitted by by ae�rw ___________________________ � � � �rO1iYn/IYC(,NJ7 L(12t2LGi2 C/���gQq,O{yur�Qp,�, ;/-XOQrp�Iyry�� City or Tow NORTH ANDOVER Date ILJ__3Da -U- REGISTRATION TLS s Ip txrtlly mat HA FFNFA REALTY TRUST has. in accordance with the provisions of Chapter 148, Secdon 13,of the General Laws, filed with me a certificate of registration strong torn that HAFFNER REALTY TRUST is the holder of the license granted R om /9/8y for the lawful use.of the buildings) or other structure(s)situated or a to be situated at 564 CHICKERING ROAD, NORTH ANDOVER, MA 01845 su.waammw. as related to the KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVE'S. • sbl.e..wonmi rat Nate:A cartilaro of npsta do must ba they on or belore April 3Ofh of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES ansee'e67 Nate: Complete top of form and forward bath sections and fee to local licensing •authority (City or Town Clerk). Do not make application to department of public Safety. Him �. � �cyro�rcamcuea,� o�V��aaaaclzuaelZd Cltyor Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In arardance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies ;hat HAFFNER REALTY TRUST w..wnm.>iw 564 CHICKERING ROAD is the holder of license granted 819/82 aw for the lawful use of the building(s) or other structures)situated or to be situated at 564 CHICKERING ROAD s...rw.,..e.. as related to the KE?ING, STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, HA 01845 cvd Note: This appllmdon for cardfimte at registration must be signed by the holder of the lkanse if said license as �r��yfanfedf Prrior.0 duty 1, 1936, otherwise by the owner or oc tie l nd U sec. Reserved ( p)� /kQ—J A )A �, 1 Submitted by by I � CQQn�2� 2INTERNATIONAL WAY amr LAWRENCE,MASS. 01843-1064 _= The Commonwealth of Massachusetts Department of Industrial Accidents _ 600 Washington Street „s Boston,Mass. 02111 Workers' Co ensation Insurance Affidavit-General Businesses IMP, creme f/R�rtir,C�s sE,� ,., e% sT��, oNs L,ve . .dares.: Sw 7-F(�RiA %I o 1- ,4 LNy X kw?EN�r` - A,3� of8f<s 9?8 6fC3 -a7�/ work site loraion(fall ad&ess): 0 I am a sole proprietor and have no one BlWaeas Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. Office❑Sales(including Real Estate,�tos Vie.) .man® I with eMWMWm to full & art time. Other SEA ST 7i . I am an employer providing workers'compensation for my amployees worldng on thisjob. eomvanr Dean tlr?Fr' N,—Fl? S S Eh? ui ( � e<, L'/, m N it E IZ" nbone d. , C Wig I am a sale proprietor and have hired the indeprnd®t wntractors listed below who heveehe following workers' comp®satiw polices: eamvavv mmr _ eddresa• eitr- h p• insurevee eo. w LMt ev name• 0 �.t�PJ. hove#• . . _. insarena ev. Z 4 ✓� !.! a-� �-(7 li # % / 3, . Faaure to awvncevenre w requvd mdm Swnov 25A of MGL 152 eav lead to the tmpaaMoo of cremteal peWtlw Ha One up is Slsna.ea+nd/vr om yin'imprboommt u..<s u tier pe®kin b the form efa SFOP WOIiIC OBDER+vd a f of E]Oa.vO a day+ptmt mn I uvtl<nmvd tlut e ropy o/eWaebtmevt maY he formrded to the O,ikmflnven8anom o/theDN for eeven8e nritkvebm I do hereby r h no andpenaaie,of Thar the Mformmion provided above is true and cor ,dey�t/qy / Signatmo �YryiY '% - Date rrin,n.ma r, /zGFiy�? hol�Nit/2 py�#_��� (, Ps —a71�/ 10 e(nehl me only de vwrwhsmlYa arrbbe+mpMfM br etlyKNtm+meYl <ity or teen: pwmWllaaore# OBwwme DeWrtment ❑chwka immediate,.pone to required OUevmme Board OSvleetmen's ORro penes mnmet : p�m#• Onnhh Department t�s�:a Oother Note: Complete top of form and forward both aecdoaa and fee to local licanaing authority (City or Town Clerk). Do not make application to department of Public Safety. 2� _ � �r�rn�naryccuea� a�Vvc�ucae�Z� e a Je/lianrGmxrxta��'iire CJvwuicea— �vuiaiaic o��'iire �raumretcnrc City or Town NORTH ANDOVER Date iL_-xacC6 APPLICATION FOR CERTIFICATE OF REGISTRATION In a=rdance with the provisions of Chapter 148. Section 13, of the General Laws, the undersigned hereby ceni8es Thai HAFFNER REALTY TRUST w...anao.anw. 564 CHICK£RING ROAD a.am s the holler of license granted 8/9/82 for the lawful use of the building(s)or other saucture(s)situated n. to be situated at 564 CHICKERING ROAD as related to the KEEPING, STORAGE,MANUFACTURE OF SAL OF FLAMMASLES OF EXPI NORTH ANDOVER, MA 01845 Note:This applicarian for cardAam of registration must be signed by the holder of the da I ' granted prior to July 1, 1936, otherwise by me owner or=upant of Me lam R �q Submitted by w by su,..,...a.., HAFFNER'S SERVICE STATIONS, INC. CITIZENS BANK U 5 4 b 4 4 2 INTERNATIONAL WAY LAWRENCE,MASS. 01M 53-75131113 CHECK NO. i DATE CONTROL NO AMOtJNT 1 :«:ea: 150 DOLLARS AND NO CENTS**** DAM $150. 00 PAY TOTTIE TOWN OF NORTH ANDOVER ORMOF OFFICE OF THE TOWN CLERK ° 120 MAIN ST, NORTH ANDOVER, MA 0184S t11ER'S ERVC TATIONS,INC. I ` -- tAYY�J'nlmin�i �ractf — IONAi ec— - m05400u- I:OLL375L351; 3 3 9 9000 6 4 41 Note Complete top of farm and forward both sections and fee to local licensing authority(City or Town Clerk). Do not make application to department of Puhlic Safety. �rmurnaou.Cs�iea�c a�c�/aGaQarzc�ivaeL� �e�ion LmenCo��'rixe Vrioveces— �rrHuoro a��'r.•e �iravenG.on City or To. NORTH ANDOVER Oate 0.. Cj APPLICATION FOR CERTIFICATE OF REGISTRATION In acardance with the provisions of Chapter 148. Section 13, of the General Laws, the undersigned hereby carufies that HAFFNER REALTY TRUST 564 CHICKERING ROAD rem.>�ema is the holder of license granted 8/9/82 for the lawful use of the budding(s) or other structure(s) re(s)situated or to be situated at 564 CHICKERING ROAD as related to the Kc ING, STORAGE,MANUFACTURE OF SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note:This apg4cadon forcertiryrate of registration must be signed by me holder of the Scene if said license was granted prior to Juty 1, 1936, omerw/se by the Owner or ocupanf of the land licensed. Recewed Submitted by by w w+mr rm __________________ .0 .rra I� lG0)71/I72�4v72G/JBr2LLiL G��.�!/GCZd6yCG�CilG�6 f'' ®� j�S e�ax6rzenCo� vxe Vrx+irce5—��indc rorundVCora�a L"/a a Pxar�rvms J City or Town NORTH ANDOVER Date k8IL�G� REGISTRATION This is to cerdiy that HAFFNER REALTY TRUST tvu.riser has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting form that HAFFNER REALTY TRUST - is the holder of the license granted 8/9/82 for the lawful use of the butding(s)or other struC,ure(s)situated or ow to be situated at 564 CHICKERING ROAD NORTH ANDOVER PIA 01845 as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. Note:AcartMan at regisPdaon muttW NM an Or before APr4 30m of each year. THIS RE-3ISTRATION MUST BE CONSPICUOUSLY POST'c0 ON THE PREMISES F'-'fn„geo'9a7 Note: Complete top of form and forward both section and tee to local licensing authority (City or Town Clerk), Oo not make application to department of public Sa IL lary. _ WC/�7?/�YG�?LClJEr2ll/7 O�(�//`���CGCS �ef`-m'Ln'ent o�C�'ure GJ'r.Gwiea— �vueuaare o��vrs �rsvanG.arz I Clty or Town NORTH A—Date APPLICATION FOR CERTIFICATE OF REGISTRATION In ac otuahm with the provisions of Chapter tag, Sector 13, of the General Laws, the undersigned hereby carges that HAFFNER REALTY TRUST 564 CHICKERING ROAD ''"'"�"' s me holder of license confab 9 _—&/LU for me lawful use 0(the buildin s or other soucu to be ssuated at 564 CHICKERING ROAD BO rHs)situated or as related to the KEe?ING, STORAGE,MANUFA c �� C7URE OR SAL,OF FLAMMAE!ES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: This app/lvdon!or card(rate of regrsaatlon mua be s granted poor m JuN 1� 1936, odranwss by ors a n��r �cedar o/ a/kensa iJ license was pant or / ri lard eca Received rah/,� 27 u�00 rL — - '�6 Submitted Dy cv.-i by Kg^�z -- C' -Zv�rrn Cl/--- -- o�,a. The Commonwealth ofMassaehusetts Department of Industrial Accidents ,i = Ofl/esq,�rsaC/iGeef 600 Washington Street Boston, Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses a. l{R FyF �Ef� iaax// R 2 s'I address: a �NTCiZ Tt d N/Jh W /ti�ti tic F erica: / in, o iP�3 nhove 97,4-ti 83 - a77/ k site loaf !Poll ddre Y I am a sole proprietor and have no one Business Type: Q Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office[]Sala(including Red Estate,Autce etc.) ❑ I am an en 1 with ® lo (ii H dt art time . ❑Other ll`M` I am an®ployer providing workers' comp®sation for my employees working on thisjob. /fiIFFiU�I�s sr=Rv�c,E sT/� v-Cr�,e wa��. r, I am a sole proprietor and have hired the indep®d®t cvatractors listed below who have We following workers' Munpensatim police: v emr address: p- ohove p• insurance eo. lie 0 eddress- 6ty- vhove R- ivsurevee eo. tie d Fennre to mme c.t .a required under Seetbn a to of Ofs TO eau R to the R 20.n of crlmv.l pa day a of a rue q,to 9e,5WA0 vnd/er one yevn'impraevmmt as w<D u cHa penaRin m the form ofv STOP WORK ORDER avd a f of a100.00 s day egain+t me I undenund tba. copy of�h:.thabme.t m.y be forwarded to ehe Omce of Iwnngatbm of the DIA for eo.enge veriantlon 14 hereby cmttfy rard�r the pains pendties of perjury Char the in/orm anon prov ed above is nue �/Jpr/r//��J{ Sigyanve Pdat psme J�Av ;J) Go�e>, N( 1_5F7 I mnoan omeui.ody d.nvtt tab theareato be completed bycityor townofficul eityortowo: Perndvkmme% QBu frog Deparimevt OLleeming Board ❑cbaekaft..M wrnpomebrequired El&e tuuu'a Omce []Bvhh Department covtact perwo: phouc b; (]Other (—d a,a mnl DATE: 04/20/04 TIME: 09:21 AM TO: ♦1 (978) 683-6132 PAGE: 002-003 ACORD CERTIFICATE OF LIABILITY INSURANCE 0OATEM 4/2 P"OD�aL (508)154-7255 FAX (SOB)797-3507 04/20/2004 Braley & Wellington Insurance ACorp. NLYA DCONFERS NO EIS ISSUED RIGHTS NTEROFINFORMATION 44 Park Avenue Agency Co ATE HOLDER.�HIS CERTIFICATE DOES NOT AMENDREX END OR P.O. Box IS127 ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. Worcester, MA 01615-0127 INSURERS AFFORDING COVERAGE NAIC0 MBURFD HIS ner's Service Stations, Inc. , eta NSURBRA Arch Insurance Co Parker Fuel Corporation MsuRERB General Star Inds nit C 2 International Way NSUPERC Y ampany Lawrence MA 01943 "SORERD "SURER E THE POLICIES OF INSURANCE LISTED BEIOW HOVE BEEN155UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD DING T WITHSAN ANT REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT M WHICH THIS CERTIFICATE My BE INDICATED.NOTWITHSTANDING ISSUED AN MAY PERTAIN,THE INSURANCE AFFORDED By THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS A CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHONM MAY HAVE g1EN REDUCED By PAD CLAIMS. MBR TPEOFIN81AN10E POLKYEWECiN£ POLICYEXPIRATON POLICY MISPK UNITS GENERAL EROAL KSPK000534 06/01/2003 06/01/2004 EACH OCCwF£NGE s X COMMERaALGEeERAL uaelm � 1�000 M CLMIS MXDE OOCCUR S 5 A MEp EXV(RMme PeRm) 6 5.00 PFRSCNALSADV MJ.QY S Q GEMERµ AGGFEGAIE S 2,000,OOC C{NL ACSHEGAIEIMp�,IAPFLESPEA: POLICY .ECT LOC MFGKTS.Cp/P.OP AGG S 2,000,OOC AUTOMOBAELwlLm KSCAB00311 06/01/2GO3 06/01/2004 IAmnuro carnsw�C GTrAEL6.m s ALLOLATEDAUTos E 1,000, A X sc-eouu 0AIRos BOLY onU t X NREDAUIos X NCNOMED AUros BBOn LY.1NMSIs x MCS90 X MM995S Pollution PROPERWDAMAGE S PMx dMC WMfiELNBLm AUTOGNLY�EAACCIOW S ANY AU 0 OTERTIAN EA ACC S AUTO QLY AGG S exDE6EuraRauLueun IUG389269 66/01/2003 66/01/2004 EAM OCCLFnENCf s 10 000 X OCCUR ❑GUMS MACE AGGREGATE S B CEDUCMLE s 10.000.000 X RETENnoN s 30, S X NgRKER3 PLOYEg LIABIIPY NSATd / / / /COMPEIAM KSWC10029S O6 01 2003 06 01 2004 EM9' i R A ANr PROPRIETOPRA E RR£prFyECUME EL.EACHACWEM 4 1 QQQ QQ OFFlCPME MBER ENC W DED9 F aeon"weer EL.DBEASE.EAEMPLDYEE s 1,000,00 ER. PROVIBILNS eelcw ER EL.DEEASE.PaicrMrr L s 1 000 00 A ysical Damage KSCAB00311 06/Ol/2003 06/01/2004 Deductible $1,000 Collision and Comprehensive DESCMP OFOPEMT SILOCATONEIVEHICLEB IEXCLUSMNSADDEDEYENOORSEMEMISPECULPRONSIOIIS C TIFICATE HOL R CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIMTON DATE THEREOF,TE RSUING INSURERAILL EIDEAVCRTOINM1 10 OAYSWRITIENNOTCETOTIECER l6 MHCLMB.EDTOTHELE ,, BDT FAILURE TO MAIL SUCH NOTCE SHALL IMPOSE NO CGU WTpN OR LIABIl11Y OFANYH4NIJH 1 THE MSURER TTS AGENTS OR REPRESENTATVFS Town of North Andover AIInwR® RESENTATNE Diane DeCaria J IANE t,, 4. ACORD 25(20011081 SACORD CORPORATION 1990 Note: Complete top of form and forward both sections and fee to local licensing I atdhor@y (City ar Tawn Clerk), 00 not make application to department of Public Safety i raammzancaealCli a��/lo,Jaac�Cuae�Tl,�l`� �avjf� efwnrGmenCa�G'rixa. r �.rueova — yAr4rort, a��'urs ;lTrsven6an Clty or Town NORTH ANDOVER Date / APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with me provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby canaries that HAFFNER REALTY TRUST 564 CHICKERING ROAD is the holder of license granted R/9/82 for the lawtul use of the building(s) or other structure(s) situated or to be situated at 564 CHICKERING ROAD as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMA8LES OR EXPLOSIVES, NORTH ANDOVER, MA 01845 Note: This application for cer lit of registration must be signed by the holder of the license if said license was granted Pro'"a July 1, 193e, otherwise by the owner or=upanr of the land licensed. Pecewec Submitted by by mow..+. _--_--_ w— c �c�arrunz�zcueaLrC7�i/ c�-� /laaocbzc�acu�eCC,t _� a�ran Grn�r�'o� vxeerr�eces — CUndarr�Aouird(;/Coa¢�e�/anr.�i ;�'l,- 4 �x'o�"w�m''e'' City or Town NORTH ANDOVER Date �� , ..,,00/ REGISTRATION T Thu is to certify that HAFFNER REALTY TRUST has, in acamance with the provisions Of Chapter tab, Sacion 13, at the General Laws, filed with me a certificate of registration setting forth mat HAFFNER REALTY TRUST Is the holder of me license granted for the lawful use of the building(s)or other structures) sauawd or a.. :o oe situated at 564 CHICKERING ROAD, NORTH ANDOVER, PfA 01845 sx..,,e,,,.,,o., as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. Payr> �l �srUj Q4 — aWa,. Note:A cam5cte or regisirat mus+be filed an or berore April 30m of each year THIS REGISTRATION MUST BE CONSPICJOUSLY POSTED ON THE PREMISES " '. rtNsea C.SfiI Note: Complete top of farm and forward both sections and fee to local licensing authcrity (City or Town Clerk). Do not make application to department of Public Safety. �a �° llJr%/h'UI724�IZLl12CLLGfZ t2L U/��p,�C �;S �' �/�Cr>rxrtCa�C-C�rxe C�izvicm—`�vwuan �vrn �revaretc'an Cltyor Town NORTH ANDOVER oa(e4AL3D a APPLICATION FOR CERTIFICATE OF REGISTRATION In acatdenra with the PmvW0ns of Chapter 148. Section 13.of the General Laws, the undersigned hereby cardfies that HAFFNER REALTY TRUST 564 CHICKERING ROADw�'etl" . w�. is the holder of license granted A/9/82 — for Me lawful use of the building(s)or other smut ure(s)situated or to be situated at 564 CHICKERING ROAD as related to the KE_=ING. STORAGE.MANUFACTURE OR SAL OF FLAMMAELES OF EXPLOSIVES. NORTH ANDOVER, MA 01845 rrvr�. Nor.:This aaplitedort/or caror=f.of regrsaa'on must be signed by Me ha/der of me license if said license was +� granted pdor m July 1, 1936, oMewise by Me owner or crap f Lwd sed. pec.ived >- i,F �000 ,� Submitted by6 tni r /�De /r > ••• � ------------------------------ - g'7- 3 Note: Complete top of form and tcrward both sections and tee to local licensing authority(City or Town CterkJ Oo not make appllcadcn to department of Public Safety. -, �Orinvrw�.zu�syeacc�c o�c�/li�pq�y�`ucae?��Za ��'ure FJvxwcm— �wniarc o/t:�iiKe ;�i�uirauextcan Cltyor Town NORTH ANDOVEER Date fgPR/C 3yatX3 APPLICATION FOR CERTIFICATE OF REGISTRATION In acardanca w@h the Provisions of Chapter 148. Secyon 12, of the General Laws, the undemigned hereb that cardfle5 HAFFNER REALTY TRUST 564 CHICKERING ROADaA°"""" la the holder of license gramed_8/9/82 — w f'oror the lawlul use o/the building(s)or other strurure<<�to be sauated at 564 CHICKERING ROAD Vm._;ed�r as related to the KEEPING, STORAGE. MANUFACTURE OR SAL m OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Nora: 771is app(icadon for oarot ov o/ be o• a.,. granted prior to Juy 1, 193 arwisa by mesignac own py ecJ older or e i Ucense I/said license was Pa�tQ/Ne la dike sed. Received�/ Submitted by by N .ne �K Note: Complete top of form and forward both sections and fee to Icpl licensing authcrity (City or Town Clerk). 00 not make apPlic a Ptm adcn to de rent of Pudl c Safety Clty or Town NORTH A_ NDDOVER Date AP,P/[_ ry APPLICATION FOR CERTIFICATE OF REGISTRATION In a=rdarm with the Provisions at Chapter Ise, Section 13,of the General Laws, the undersi HAMER REALTY TRUST geed hereby certifies that 564 CHICKERING ROAD is the holder of license granted_8 2 82 for the lawful use of the building(s)or other struc;u to be situated at 564 CHICKERING ROAD re(s)situated or as related to the KE_PING, ST mow`"ORAGE,MANUFACTURE OR SALE OF FLpMMABI����OR EXPL OSIVES. NORTH ANDOVER, MA 01845 cnv re.. Nore: This appficadon for ceriffi=e of mg1srrauon must be signed by the holder of the 4cense if granted pnoric July 1. 1938, otherwise by Me owner or o said license was 98ca"d y�,Oa f the/and li ensed. by Submitted ov 2 INTERNATIONAL WAY LAWRENCE, MASS. 01843 Note: Complete top of form and forward both sections and fee to local licensing auttl (City or Town Clerk). 00 not make appl cad n to d partmenr of Public y I a _ _Cy `�' czclu�ae�ld �' e�io�"6rrcento��'vxe Vaaveces — y ,ry ��,urs ✓,v��e'r+Cwn City or Town NORTH—ER Date qIIU4 .?A J'n.�1 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter lag. Section 73. of the General Laws, the undersyned hereby pantries, that HAFFNER REALTY TRUST 564 CHICKERING ROAD "°""0""' u the holderoi licansegranted_ U2182 .wm. ain for the lawful use of the building(s)or other structures)to be situated at 564 CHICKERING ROAD ( situated or as related tc the KEEPING, STORAGE, MANUFACTURE OR LE A S OF FLAMMA4MMAB!ES OR EXPLOSIVES. NORTH MOVER, MA 01845 rwd Note:Thd appfieadon for carb6care of regtsnarfon must be signed pi r byc me holder of the license if said licartse was granted prior b July 1, 1936' omenvtse by the owner a �jWaQa t Peved U2/L`i e1� a n/ l2� r o/N l ansed. by Suorn tied by a m 2 INTERNATIONAL WAY _,_LAWRENCE, MASS. 01843 Note: Complete top of forth and forward both sections and fee to local licensing authority (City or Town Clerk). 00 not make application to department of Public Safety. , P �o�mirreo�u�ajeczll� a��rC�r�laaaa�zuaee�/1L7f� b LejwirGrnereCo��iire Vr,niicea — L'riuiaeoyc o��9iKe :l'rev�,Con City or Town North Andover Date April 30, 1999 APPLICATION FOR CERTIFICATE OF REGISTRATION In iomrdaince with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ,waerusde'a,.. 564 Chickening Road is the holder of license granted R19/Rae for the lawful use of the building(s)or ether structurels)situated or to be situated at 564.Chickering Road as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North Andover c+vr ra.a Note:This application forceribcate of registration must be signed by the holder of the license if said license was granted prior to July 1, 1936, ohemwe by the owner er occupant of the/and licensed Received Submitted by y by ---------------------------------------------- aum,rm muu (Fammanasea&4 c�666ac`au ,s % meaxCa�C— v re G�!'e>�.x —�CJoCo,,r¢�e C—Jaorlc ✓P—Yv — City or Town North Andover Date April 30, 1999 REGISTRATION Haffner Realty Trust This is to certify that has, in accordance with the provisions of Chapter 148, Section 13,of the General Laws, filed with me a certificate of registration seeing Haffner Realty Trust forth that is the holder of the license gramed 8/9/82 for the lawful use of the building(s)or other structure(s) situated or am to be situated at c6A rj11t.4 g Road sx...auum.. as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES 01; EXPLOSIVES. C�fre Y�fn/�L�iiIJ �2i17L� pi� ,Fx7 Note:A caru9pra of mgismuch must be Meg on or berore Apnl join of each year THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES e itar'sea ryal ' TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 Joyce A. Bradshaw Town Clerk Telephone(978)688-9501 FAX(978)688-9556 •yeti.,..+'tn °e+cxus� March 29, 1999 Haffner Realty Trust 69 Parker Street Lawrence,MA01843 Dear Sir. Enclosed please find your 1999 Registration Renewal Form(s)for underground storage tank(s). Renewals are due April 30' of each year. The current fee is$100.00 per site. Please sign the top portion of the registration form and retum it with the appropriate fee,payable to the Town of North Andover, 120 Main Street,North Andover, MA 01845. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. Very truly, lane[L. Eaton, Assistant Town Clerk enc. Note: Complete top of forth and forward both sections and fee to lopl licensing authority (City or Town Clerks Do not make application to department of Public Safety. R �Oamvmo�rccuea� a�mC/G�aQaac`uiae�ln�a ��wirGmmto�Cvse Vexveceb— .:L`vur4coro p� vrs ✓�w�r�riret'rn City or Town NORTH ANDOVER pate APRIL 30, 1998 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that HAFFNER REALTY TRUST wma�ne.amv. 69 PARKER STREET LAWRENCE, MA 01843 is the holder of license granted AUGUST 9, 119982 for the lawful use of the building(s)or Other sductum(s)situated or to be situated at 564 CHICKERING ROAD as related to the KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER Note. 777is app/icadon for certificate of registration must be signed by the holder Of the license If said license was granted prior M July 1, 19S6, otherwise by the owner or occupant Of the land licensed. Received Submitted by by wn..vwa..w.ome.w r 69 PARKER STREET, LAWRENCE, MA 01843 ---------------------------------------------- m.m Vi't7�/�f.O�yZL(leQLLJL 2L��CLC/2lG6er.�b �effomGmeaeto��uxeCJezvwcm —�lG�xdex// �.orvndC_S'ta�eC-%am� �✓'xo�ra�n City or Town NORTH ANDOVER Date APRIL 301 1998 REGISTRATION This is to certify that HAFFNER REALTY TRUST has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that HAFFNER REALTY TRUST AUGUST 9, 1982 is the holder of the license granted os for the lawful use of the building(s)or other structures)situated or to be situated at 564 CHICKERING ROAD, NORTH ANDOVER, MA as related to the KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES, syw.seoerai Note:A rar6bore of mgista0on must De Menan or before Apnl3gm of each year ]the) . THIS REGISTRATION MUST HE CONSPICUOUSLY POSTED ON THE PREMISES c?.3(iawseo TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 e, Ne srN 1� Joyce A.Bradshaw •' ,•�_, 4 Town Clerk : Telephone(978)688-9501 s + FAX(978)688-9556 �OQaxusdr April 10, 1998 Haffner Realty Trust 69 Parker Street Lawrence, MA 01843 Dear Sir: Enclosed please find your 1998 Registration Renewal Form(s)for underground storage tanks. Renewals are due April 3&of each year. The current fee is$100.00 per site Please sign the top portion of the registration from and remm it with the appropriate fee, payable to the Town of North Andover, 120 Main Street,North Andover,MA 01845. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. Very truly, 40'at / &tol- et L. Eaton, Assistant Town Clerk enc. NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR .TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY r, 4x! CIIri monfUPMCf4 D•f SIF rjpj8Pff8 Department of Public Safety—Division of Fire Prevention r..v CERTIFICATE OF REGISTRATION ' NORTH ANDOVER ..... PRI AL..3 0_._....•...• 19.....97 ........................................., Iclur ar Tavel laws, In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that t1AFFfIER..REALTY..T$US.x................................... Address ....69,. INwme of MIJer of liaenul is the holder of the license granted.................AUGUST 9,....... 19.._Kfor the lawful use of the building(s) or other structure(s) situated or to be situated at..5G4..GH.i.CiCERiNG..RQAR.................. Igtraet and mour) ae related to the KEEPING,STORAGE,MANUFACTLRE OR SALE OF FLAMMABLES OR EXPLOSIVES. ..._NORTH..ANP..P.Y.RR.......................................................... ml lr ur Taw,t Note: This certificate of acki stion must he signed 1h the holder of the license if rid hiteme was granted prior to Iuir 1. 1936,otherwise bT the owner or oeeupms of the land lieenrd. Received ......................./........................19........ .............................................................................................. b ....................................... la,m.ra.rl _HAF1 Ex..REAL.T.Y..IRUSx....................... ...................... ...............................(offic...... ............... 18tw,r+IaMer mars. aveorwnt er haleerl IOTeia Tlalel 'AEEA LAWREN,�$,,,MA, •01843 Iddddnrrl �� •�•�•�����•�� �L'I�P �iTIII1ttU1t�IPMI�I� Of �ti58FIL�1i8E}t�B Department of Public Safety—Division of Fire Prevention e REGISTRATION .•..NORTH ANDOVER APRIL 30,,.,•.•... 19..•.97 .......... Icttr o.Town, ..... • •IaYel This is to certify that.....HAFFNER.REALTY TRUST........................................has, in accordance with the . . . . . ............. provisions of Chapter 148, Section 13, of the General Laws, filed with me a mrtificate of registration set- ting forth that......HAFk'.NER..I3F.At,xX..T13.pS.T...........................................is the holder of the license granted .........AUGUST..•9•a•..••••.•••••.........................19.....R2for the lawful use of the building(s) or other structure(a) situ.ted or to be situated at......_-`64„CNICKERIN,Ct,,,tt4{1D, . .................................................. . 18nrN nne NumMrl ••••••••••••••••• as related to the KEEPING,STORAGE.MANUFACTURE 0 LE q�pt, .IMAIiLES OR EXPLOSIVES. la,g,,,mr.re oae,a TnN, Nom: A certifiole of rswurti.i. anavt be filed on or before Aped Sikh of eah year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) ram aws �o.,. TOWN OF NORTH ANDOVER o •�,, ,:��.,� Joyce A. Bradshaw, Town Clerk TOWN BUILDING ss+cwust (508)688-9501 120 Main Street A Fax(508)688-9556 North Andover,MA 01845 March 31, 1997 Haffner Realty Trust 69 Parker Street Lawrence, MA 01843 Dear Sir: Enclosed please find your 1997 registration renewal form(s) for underground storage tanks. Renewals are due April 30th of each year. The current fee is $100 per site. Please sign the top portion of the registration form and return it with the appropriate fee payable to the Town of North Andover, 120 Main Street, North Andover, MA. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. V y truI , Ge�fL aadar>*cer�- Joyce A. Bradshaw, Town Clerk enc. JAB/je TOWN OF NORTH ANDOVER DA LONG, Town Clerk TOWN BUILDING �'rryCXOSE♦ =CTTON pEPA NT NoA AN VM UG88- 01845 August 10, 1982 Haffner Realty Trust 69 Parker Street Lawrence, Mass. 01843 Dear Sir: Your license for the storage of 6,700 gals . of diesel fuel at 564 Chickering Rd. is ready and may be picked up at my office. The following is a breakdown of the expenses for thr processing of the application. APPLICATION. . . . . . . . . . . . . . .$15. 0 LEGAL ADD. . . . . . . . . . . . . . . . . 25.36 CERTIFIED LETTERS. . . . . . . . . 4.65 F . LICENSE. . . . . . . . . . . . . . . . . . . 5.00 / F TOTAL. . . . . . . . . . . . . . . . . . . . .$50.03 ncere y an 15ng Town Clerk TOWN OF NORTH ANDOVER p Dnnwn. LONG, TT." Clerk MWN BUILDMG �SdlCMUS� 6LEC1'ION DEPARTML'N4 NOnm ANDOVEN, MASS. 01845 LEGAL NOTICE TOWN OF NORTH ANDOVER MASSACHUSETTS LICENSING COMMISSION NOTICE IS HERBY GIVEN THAT THE BOARD OF SELECTMEN, TOWN OF NORTH ANDOVER WILL HOLD A $IBLIC HEARING AUGUST 9, 1982 AT 7.30 P.M. ON THE APPLICATION OF HAFFNER REALTY TRUST 69 PARKER ST. LAWRENCE, MASS . TO STORE 6, 700 GALLONS DIESAL FUEL. THIS FUEL TO BE STORED UNDERGROUND AT 564 CHICKERING ROAD, NORTH ANDOVER, MASS. THOMAS J. McEVOY R. LOUIS DiFRUSCIO JOHN W. GRAHAM RALPH R. JOYCE CHARLES A. SALISBURY BOARD OF SELECTMEN - PUBLISHED E.T. 28, 1982 PLEASE BILL DANIEL LONG TOWN CLERK 120 MAIN ST. NORTH ANDOVER MASS, 01845 t NORTN 1 NORTH ANDOVER FIRE DEPARTMENT CENTRAL FIRE HEADQUARTERS 124 Main Street ,SS4CH S North Andover, Mass. 01845 Tel. 686-3612 21 July 1982 Ur. Louis DiF'ruscia Chairman North Andover Licensing Board Dear Louis; As head of the Fire Department, 1, make the following requirements regarding the application of E. Haffner Fournier, for the storing of an additional 6,700 gallons of diesel fuel. 1) That the issuance of the license be only for the storage of diesel fuel, for this 6,700 gallon tank. 2) That Mr. Fournier *area to abide by the operating procedures of the North Andover Fire Department and 527 CUR 9.00 Tanks and Containers. If there are any questions please contact me. Respectfully; �kd- 441416d ., William V. Dolan Chief N.A.F.D. Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk, pe not make application to department of Public Safety. �L � � �oammw�rzcaerz� o�GiaCaQaac`u�aeL� Cityar Town NORTH ANDOVER pate APRIL 303 1998 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that HAFFNER REALTY TRUST 69 xwdms.ds� A KER STREET LAWRENCE MA 01843 wsw. is the holder of license granted AUGUST 9, 1982 for the lawful use of the building(s)or other stw ture(s)situated or to be sivated at 564 CHICKERING ROAD d suwrx,e�„m.. as related to the KEEPING, STORAGE.MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER Note: This application for ceroficate of registration must be signed by the holder of the license if said license was granted prior to July 1, 106, otherwise by the owner or ecu o e la d 'ce sad. Received ,5. 1 a7 i99� Submitted by by swN. oexw re. 69 PARKER STREET, LAWRENCE, MA 01843 �Cfj�e (9=M0nf Vdt4 of fflMWrjjjt5zft5 Department of Public Safety—Division of Fire Prevention REGISTRATION NORTH AHRQ.V%jl.................ARB.Lb..39............. 19.9b... _ This is to certify that....�.FNER REALTY TRUST Me, or To") 'e tpat . . . . ......................................................has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that.....UAF.FNFdt..REALTK..TRUST............................................is the holder of the license granted AUGUST 9, - 19-U., for the lawful use of the building or other structure(a) situated or to be situated at..i64„CH;C��Rt,{yG..RRAp.....NRRTf3...dNpOYER...MA..............................................Ial[M .M NomM.l as related to the KEEPING,STORAGE.MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. :.. ..... tltl Tlael five, A mafieue of roiiatretion must he filed ms or hefwe April 301h of nsh year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) rMaaa. NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. pe a=m rhvdttt of cIttsm4uoetts Department of Public SAfety—Division of Pyre Prevention CERTIFICATE OF REGISTRATION ..,NORTH ANDOVER...............• APRIL 30............ 19....96 . .. . .. .... ................ (Cl.ar Tewnl (Dote) In accordance 2 twith the provisions of Chapter 148, Section IS, of the General Laws, the undersigned L4fY herftF95' TRUST............................... Address ......6Q_PARKER„STREET.....LAkiB.F.NGE,..klA..0IB.43 taa.e of holder ornreoW AUGUST 9, is the holder of the license granted..........................................................................19....8.Zfor &..a lawful use of the building(&) or other structure(s) situated or to be situated at.5.f24..Glgi.GKGR.LNwG..`RQAA.................. as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. _NQATA..ANQQVEIt............................................................ 10w-To-1 Nate: This eertineate of rea)eteatlon most be waned by the holder of the feense if uid liceme wu panted Wier to IuIT 1. 1936,otherwise hT the o�lny�w oee t the lard lice( Received ... ...4:Q...................19.Q><ri.. ..._.`.. ....... . ........ .......................... (81Mtvnl >nFF��11qq .. cs�... nn:... ac{aA .......�.. r 41.I ...: ....HAF.F.NER_(SRAT.xX..SHUSx...oo,....................................... ..................... .... ..................................... tatsu whnh.r ewsr.. Qeapsst..heldeet •lotadel Tnht 69 PARKER STREET, LAWRENCE, NA 01843 .............................................................................................. IAeirNl NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK), DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. f /-5,OO (ffmmnO1 jeaffh of 4tt6btt4theft$ Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON — CERTIFICATE OF REGISTRATION ...:.......April........3Q.................................:......... 19.�... felts w Town) (Dual In accordance with the provisions of Chapter 148, Section 13. of the General Laws, the undersigned hereby certifies that ...........Haffner Realty.Trust:........................... Address ........ ........................... ......... INnme et holder at Iiwnal All I, the holder of the license granted............ . ..js_19E2. 19........for the lawful use of the building(s) or other structures) situated or to be situated at......54Lis hiif kN dzg-Rd................:.. an related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ._BOR'^3 ANDOV t ............................................ 6,700 gals. Diesel Fuel Underground Ice fregret 40 000 qqke 5is as �+ge round Motu TM1b certificate of registration most be slimed by the ho):der or'he lieeme if u1d liernee we.{noted Prior to lair 1. 1936,otherwise by - to1 / n �ihe land leemed. Received .................................................1.9........ ... ....... .. .t...... ......................................................... ' 184eemral/ OR.V nhNMI anner,er[uo.nt e,MIde'l 1011h1a1 Titlel R.t. . ..... . .. . ... qy 3 t � C'�IIE QZatnmunfnEttlfl� flf sttcllusE#ts Department of Public Safety—Division of Fire Prevention " 1010 COMMONWEALTH AVE.. BOSTON REGISTRATION '/ _NORTH Afmov„II3........._Apa',i1...3Q.... 19g7.. IciV o,Tewnl IDe41 Yaffner Realty "_'rust , ,,,,,,,,,,,,,,,,,,,,,has, in accordance with the Thisis to certify that......:......................................................... provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that....sEEDe,Real.•ty'Txurt..-•••••••••...-••----'--•-'•-'-•'Is the holder of the license granted •_,•,August,,,9,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19...8Z for the lawful use of the building(s) or other structure(s) situated or to be situated at........564 Chickerinfi,Rdta..:�P.S4h../A0.dRY.e>:.................................................... ����� 19VM red Numbq as related to the KEEPING,STORAGE,MANUFACTURE.OR SALE 0 FLAii1BlOR EXPLOSIVES. 6,7Doo gals. diesel Fuel Underground sal gals. gas underground , 40,000 - Note. A certifirste of registration must be filed on or before April 30th of each c (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) rataaal.+on utat NOTB: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. Z41! alnil Ionfuralf4 Of (fAnsm4usleffs lugsDepartment of Public Safety—Division of PSre Prevention CERTIFICATE OF REGISTRATION NORTH ANDOVER APRIL 30............... ..........................................r............ 19.....97 (ally or Trom) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ..tugs?YEA._? IA?M..TAU T................................... Address .... TA..bkhRNNG�,.:�1..01843...�� INAm.of eelrMr of li.emel is the holder of the license rranted.................A0GU5T.,9.t......................................19.. .82for the lawful use of the building(s) or other strveture(s) situated or to be situated at.5.Ct9..GB3.CKERING..RO,AA.................. a•related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. N9RT.H..da�AOY.ER.......................................................... CITY or Tonal IV•m: Thlo eerliae•I-of 1 1.19 ion Inar he.lined 6>the holder of the liven if.11o li.,L wn panted peioe m Jolt 1, 1936,otherwi.e hr the orn • of IlcennM. / Received ..... ............................................. {�/rt2£f.�r....... ..19.Q.7... ..sr..sic by ... .. ........G.:.. .ju.cr.., ...,.. j. 1lNFF'.NER REaly..Ilim.. .................. ..... .......::........................... lain..awe..e..ne., :c,pstm e.Awdorl•••••••••..•••••••••• •..wa.w ram .........64..R!1RKI.R..S.T.?iFr1T.1..LQ?5'RET?Gfi.A..i?�..0184?........ IA•fr.mml NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. vlhe vJ l)ttTI1TD2T�UeM11 lif fflnsarl lscfts Department of Public Safety—Division of NSre Prevention 1010 COMMONWEALTH AVE., BOSTON --- CERTIFICATE OF REGISTRATION ...:........AFri1........30........................................... 19.,4-Y IGV or Teo) IDaal In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ....•,•....Haffner Realty„Trust........................... Address ........fiA•P.axl:er..3t..r•-Latrreaoe........-.................. •• .1 Nwme of holder of Baronet is the holder of the license granted.............3�,9A•.192 9...:-••,•.,-.,•,•„•,.......•....19........for the lawful use of the building(s) or other structures) situated or to be situated at......SF_4ss hiiok 1.na-Fd.-••-••......•••• ad related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .••,NORTH ANDOVER............................................. 6,T00 gals. Diesel Fuel Underground • testy or Town 40 000 gals. gas underground Nola. Thie eertifiale of rr,'Wrollon..at be daned by the holder orthe lieenae if aid iieenne'was erased prior to July 1, 1936.atherwim by the owner or oeeupant of the land licenxd. Received ............: 181enatarcl by .......................................................................... .........................................w................................................... ............................................................................... ISua whelMr o.ner, ae<bo.nt er howeel Menial Tate) 3:. .. o............................................................................................ — IAddrml ( lle 01mnm"fuettlth of ttsstttllusetts Department of Public Safety—Division of nre Prevention " 1010 COMMONWEALTH AVE., BOSTON REGISTRATION ....NORTH ANDOVER........._AaF..S,1:. IClty er Terwl IDWI Haffner Realty Trust........................................has, in accordance with the This is to certify that................................................................ provisions of Chapter 148, Section IS,of the General Laws, filed with me a certificate of registration set- ting forth that....,as.Pl:nea..REedty' *• ...•• ......•••""......'-•--"-••••"'s the holder of the license granted . .....August,-•q...........................................19...92, for the lawful use of the building(s) or other structure(s) situated or to be situated at........564 ChlckerinE.Rd,a..T:P.F. h..hmdaYaS.................................................... ••••• Istrax ad Namberl as related to the KEEPING,STORAGE,MANUFACTURE OR SALE O��OR EXPLOSIVES. 6,T000 gals. diesel Fuel Underground ""...... "" ' :. " - """""""••'........... gals, gas underground 40,000 • T�tkl t IVotm A cotiaeate of regi.leali ra mmt be filed on or Cefore April 30th of eaeh e (THIS REGISTRATION i11UST BE CONSPICUOUSLY POSTED ON THE PREMISES.) ran tsv-s.aaio�n trxsst ua co a4 ta:44 'p' UbL rKubttAA goo NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. lff4e ( mInnar vrAt4 of Assndpoefffs Urs, Department of Public Safety—Division of Mre Prevention CERTIFICATE OF REGISTRATION NORTH ANDOVER —,.APRIL, 30.t. 19.95 .................................... ...... 'City er Tewn) (loan) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that HAFFNER REALTY TRUSTAddreas 69 PARKER ST;x „LAWRENmt,,,MA . ............. ..... IN.me of MWo a(lieen.el is the holder of the license granted...................................AUGUST ,9 , 19.$?...for the lawful use of the buildings) or other structure(s) situated or to be situated at..................._564 CHICKERING RD. ...................................... is,. and namh,) all related to the%XPING STO�R1AGE,MANUFACTURE OR SALE OF FLA 1MABLES OR EXPLOSIVES. NORTH hNDOVER 6� GALS. DIESEL FUEL UNDERGROUND (City or Toaal 40 000 GALS. GAS UNDERGROUND Note: This certificate of registration must be signed by the holder f w.7 idew if Mid teenx w'1is annted prior to July 1, 1936,otherwise by the owner or oceup•nt of the land licensed. Received ..................................................19........ .............................................................................................. IBtanumel by .......................................................................... .............................................................................................. .......................................1 Til.......:........................... lane+linear ewnrn a.p.nl er Aelderl (Oalela Tap) IAtlLwI (Ae Cnmmmlfuex4 of *nsa*srffs Department of Public Safety—Division of lire Prevention REGISTRATION . NORTH ANDOVER — APRIL 30 , 95 ..................................................0...... 19........ (city or Town) m. , HAFFNER REALTY TRUST has, in accordance with the This is to certify that...........................0.0.........4...0.4........... provisions of Chapter 148, Section 13. of the General Laws, filed with me a certificate of registration set- ting forth that........................... HAFER REALTY,_TR[J$'}js the holder of the license granted ..............,...........FN......... AUGUST 9 , 19.$.�.. for the lawful use of the building(s) or other structure(a) situated or to be situated at................................................564 .CHICKERING RD:.t..NO ANDOVER, MA 6 000 GALS DIESEL 0JL","'(CIS TW6ROUND — 40 ,000 GALS. GAS UNDER ae related to the . 1 R EXPLOSIVES, GROUND ...................................................................................4...... laimeture."e oMn.l Titu) Note: A certificate of registration ,gust 6e filed on or before April such of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) • - Note: Complete top of forth and forward both sections and fee to local licensing authority(City or Town Clerk),Do not make application to department of Public Safety. p �07YVIYGOi/LG(lP M, ����Qe�, City or Town North Andover Date April 30, 1999 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that 564 Chickering Road is the holder of license granted_ R/9/89 for the lawful use of the building(s)or other stroaure(s)situated or to be situated at 564-Chickering koad as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSNES. North Andover Note:This application for eerd(cete of reg'snatfon must be signed by the holder of the fxan e it said license was granted prior to July 1, 1936, othemwe by the owner or o�upr�or o e dni waned. - ReceivedQ £ �>3,r/�y'99 Submitted by �J by g /�tnG v.... ---------- 'a/PfG3 nArrmmbOEHVIGESTATIONS, INC. CHECK NO. 33643 OUR REF.NO. YOUR INVOICE NO. INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISCOUNTTAKEN NETCHECKAMOUNT 3099 03/30/99 100.0 100.-0 0.0 100.00 NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. '3 /J 00 ( =m=[Vjea1t4 of Asondpetts Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ............Apxu........30........................................... 19..L....� (ear or Te-.) (aLLr) In accordance with the provisions of Chapter 148, Section 13. of the General Laws, the undersigned hereby certifies that ...........3affner Real t� Tr?.ls.L........................... Address ........b.4.P.az1:er..St..r..Lawser e........................... (Name of held.of Here.) Aug Lat 9 19P2 is the holder of the license granted..................:........ x............................................19........for the lawful use of the building(a) or other structure(s) sitoot Nf or to be situated at......5f..4..C,hialc�raaF;.. �'................:.. (atr.t and ..n.eer) u related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ]OR^_'-? AtiDOVFR •• 6,700 gals. Diesel Fuel Undergroune ................ ................. ................................................. (till s To-., 40 000 (als. gas jgij rgrcunc Note: Thi,rerti6e.ae of reabtrmion mmt be eianed by the h Ider o the licen.e if do, Teen ...ar.nted .• .prior le Jut, 1, 1936,uthemim by the o`�..oe t of the lend lice 2 . . ..:. Received . .... ..... ._t..�.....19_.ff..� n n ...• •.•.•.DANIEL NG i ...... by ......................... .... 1VWNCLERR.................... �w�w ...... .............siat.............. ................. r....................... 120 Main Street ( .e-ranee.aweer.«m . ee holder, 3Q�tyfp;o7NA DY845 / �I / �t..l..... .. .l1/� vz�1. ..k..... . .. y. (Addrer.) NOTE: COMPLETE TOP ANr OTTOM OF FORM AND FORW� BOTH SECTIONS AND FEE TO LOCALOCENSING AUTHORITY (CITY TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY.. '���•� Mlle Tummnnf lralth of fflttsondi setts lug Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON --- CERTIFICATE OF REGISTRATION ............April........3p................:................ ......... 191LF (CIO or Tent (Da) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ...........Haffner Realty.,. Trust.......................... Address ........GA.P.axkex..St..r••Lawseaee........................... ... ro.mr.( had.r of i«nw) . ust 9 1Q22 is the holder of the license granted.............'?�i...........z............................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at......5.6LXhiokd"1ng•-Rd,,................. as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ITORTH ANDOVER ..................... 6,T00 gals. Diesel Fuel Underground ... ... ........................................................ tear er re+et 40 000 y,,alv, gas ut�nt�ppergrotmd Note, The. re,nar.te of rralalrellon mu.t be dared by the holder orlhe Ikenw If old Ik�.led ..prior to July 1, 1936,ether.ire by the own or .m o he Teen Received ... rn , — or by ................ .......................iRON.. ..... ........................... . ,,6i.. .. (atetr..hrthrr e..e.. .rrov.+t e.meer.t IAddreul i NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS V750 AND FEE TO L�L LICENSING AUTHORITY (C� OR -TOWN CLERK). DO NOT RETUR ORM TO DEPARTMENT OF P IC SAFETY. 'The ( 0minlmf ninth of Assarljmpffs Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON. -- CERTIFICATE OF REGISTRATION .................NORTH ANWVER..............APRIL..',(0... 19.9(.. ............... . . ........ (City or Town) (Date) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that _ ............... ....................... Address .......IN.me of I,dJer of li«nrl is the holder of the license granted.:....!!U.gu9t..9...1982..................... ...... .19........for the lawful use of the building(s) or other structure(s) situated or to be situated at...r75 __.??.ekering Rd. (str«t and numuorl as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLE$ OR EXPLOSIVES. ...........NORTH N`I{?DER.................................................. 6,7001 Gals. Diesel Fuel underground t City or Tool Nar. This reytifirae of reeima0on must be si-ed by t oldcr of the license if aid ncense.as sr.nted prior to July 1, 1936,other.i.e by the ner r«cupaant th< long he wed. Received ............�91�1}'S7{.�.....�Z.�tl.19........ .. .. . . 33"" by .............................g. :::::(:.:;kgpµ................. . . 1 ,anuu.N k, Nhi01 .......................................................... .................................... ............................. a i3iN%A................... (St.,.v1,e1Fo owner,«euo.nt ar Fnldo) lod" - y7ti3J38 ............................................ .... . (Add,.-) NOTE: COMPLETE TOPAJND BOTTOM OF FORM AND FQQ$$WARD BOTH SECTIONS y7.�lO AND FEE TO IWAL LICENSING AUTHORITY ((OW OR TOWN CLERK), DO NOT RETURN FORM TO DEPARTMENT OF P1UTLIC SAFETY The (9 mmmlf jealth of AsondrauttB Department of Public Safety—Division Of PSre Prevention ' e. 1010 COMMONWEALTH AVE., BOSTON. CERTIFICATE OF REGISTRATION ................_NORTH ANDOVER ..'.10... . . ............................_APRDa �����ICiV oe Tewnl ��ID.41 In accordance with the provisions of Chapter 148, Section 13. of the General Laws, the undersigned hereby certifies that ...............Haffner Realty,Trust....................... Address ....... Innm.or Bauer er ii..n,.l is the holder of the license granted......A.U9uR: yt,,,1982 .19... , ..for the lawful use of the building(s) or other structures) situated or to be situated at...`1.�... ?.ckerirr$ Rd. (street .nd nnmeen ass related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLE$ OR EXPLOSIVES. Kits or Ta.n ............NORTH,,,9);IDQ ,,,,._..,,,,wet 6,70a Gals. Diesel A2el under9mnd Note: This rerti Arate of registration must be signed by the holder of the license if asid fire..a,.s grassed it , SS 8 prior to July 1, 1936,otherwise by the o.+ r or copses o the lands d. - lit g�� / ee Received ............17...q..........................19........ .... . ..... ... - .t�'4.'Ott..S.r............................... ... . .isia.an.ei ....................................... ......... ............a 1 ......... r, oeeu.................................. 164te weether owner, o.AeWerl TRI ia Tl,l IOMeel .............................................................................................. IAddrevl NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS • AND FEE TO LOCAL&CENSING AUTHORITY (CITY. AQR TOWN CLERK). DO NOT RETURf,N�FO TO DEPARTMENT OF PUB SAFETY. _ rJ•� 0 II he (9DTI manfrenith of 68ZItI�lISE B_ Department of Public Safety—Division. of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON . CERTIFICATE OF REGISTRATION • . NORTH u 1'CCp NORTH .. . .Y L 17:.....AFBIL..3Q... i9.8ar ' ICiV a.�..l 10.1e1 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certie that 6,Q Parlmr St. Latarence nasft]nr Realty_Trust.................. Address ... -------•--'-----.... ...................................» ' IN•..e d ldao of I:....rl is the holder of the license granted......M�y._1.:a..x2S4.................................--.....19.........for the lawful use of the building(s) or other structure(s) situated or to be situated aL.564_.C1xtckertap..Rd...................... as relppat77e'd-��tjjo the(KEEE(�PII�N,1GrSSTpDORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. IYOIIII'1...7iU,E1,L.l�:Lli ':.......... ............:.... 20,000 gals. gas. underground Nmrc: 7�hn Ap r•IS of,<gia.6on m...l be.ign.d br..The bolder of the Gccn.e if..:d Iic.n.c r.. g..nled ' to IOr 1, l93 olhrr.i•e br the oner or«cop.m of the I.nd ncrn.rd. Received ....P .....iDANIELT- 40NG..........19........ ...................................................:......... TOWN CLERK Is�...,•.r/ .........................� . by ----------------—-----1'20-Ma;n—sxr.,et................ . //77 ``G I3 __ hlas> t._G35 ...Sf/!lr.... ............. _......7...._.......... . .......... North Andcvar. tst.tr ..n.ts.. ,.....r.gp••t .,n.la.r> ..................... y O �r/�.— ...............................'OdS.W TIt41.......... �GG /Y ............._.....:................................ ' IAddr.ul' NOTE: COMPLETE TOP ND BOTTOM OF FORM AND FO$WARD BOTH SECTIONS AND FEE TO LWL LICENSING AUTHORITY (CW OR TOWN CLERK). DO NOT RETURFFIr FORM TO DEPARTMENT OF PDELIC SAFETY. ffhe Tanintmtfoealth of Assztdl setts _ Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON. -- CERTIFICATE OF REGISTRATION . ..................MORTH OVER .....APRIL..3O. 191.6' . a ..............AND........ ICIV r T.wnl (n.tel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ............_RaffYter_Aealty,.T}v,,s ,,,,,,,,,,,,,,,,,,,,,,, Address 69 Parker St,.,_.Lswrence,,,,Na.................. .... . .. ...................... . (N.aw at holder,of Imeme) is the holder of the license granted.....August.9....1982..................... ...... . .19........for the lawful use of the building(s) or other structures) situated or to be situated at...7. ._ ? erinp.Rd. (su.N..a ...,tar) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ...........NORTI3..AT?DQYk 1................................................... 6,7001 Gals, Diesel Fuel underground 1 Gtr ar Tow.I Note: Thi.roG6rme of rceiatration moat he ailmed by the holder of the license if oid license wn aTamed y NN ,jjr�ior to July 1, 1936,olherwi.e by the owner or occupant of the land licensed. Received'.O'.:'.T.'a'f...S!..e.�Q'..�... ....19........ .............................................................................................. DANIEL LONG by .......................TOWN'-GtEFM............................. 120 Main ................. o ( Street ..1•./•G.••'•C.`............................r,............... ...................... Nrth'#n ..twhet or .arr) 4rA .................................... NOTE: COMPLETE TOP AND B TAL L OM OF FORM AND FORWARD BOTH SECTIONS r�5o AND FEE TO DO NOT RETURN FORD DEPARTMENNG T OF TY (CITY PUBLICR�ETYCLERK). "The Tommmcfuettlth of jM155arllusetts Department of Public Safety—Division of Mre Prevention IOIO COMMONWEALTH AVE., BOSTON. -- CERTIFICATE OF REGISTRATION / NORTH ANDOVER............._APRIL..3Q. ........................................... Iep> or To�nl (a+le) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that 69 Haffm�r..R! a .V ....................... Address ....... Lw ................. (Name or idler of nn.ael .... ...... is the holder of the license granted..... ?8119t.9,...19s2.............. .. gy9ck'er nor the lawful use _ 5..1+......., ....................... of the building(s) or other structure(s) situated or to be situated at.............a,-,sort n ............................ as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 6 Gals. Diesel Fuel undergr'ourid NORTH._A);IDOV.I'.R................................................... >700i ta or Town) Note: This rerYmt,fire of registration moat be ai`ncd by the bolder of the license if a+id limnae.0 dTanied prior io Joly 1, 1936.ahcr.i+c by she o.+ r o pan, o(�the_I+n�. rust d. Received 19........ .....(}-........ t...... ^.C°..c......................... hB�YF� Er.�.....�....Iy .............. Isian.mre) ................................................... I Ii�G j- Isuir srur. n.nr., arr„o.m .. sniarri . 4., ...............I..... ONi...._. ................................. 13339()iri GiA .... .......................................................................................... - tAdd,rul I NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LIC ING AUTHORITY (CITY OR IVN CLERK). O DO NOT RETURN FORM DEPARTMENT OF PUBLIC ETY. _ `�•'S (9ommonfundth of 41zssurhusrtts. ` Department of Public Safety—Division. of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON - CERTIFI,CATE OF REGISTRATION �( NORTH--AV,oQVM...JFli -30... 19A.(.. In accordance with the.provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certififie tthat 6 Partter St. I.axrence HaYtYn Reap ._Trust.................. Address .....,�......................t................................... r Y - -'- - ---.......a-....... . IN...e•f\dde.of linn.e) ' to the holder of the license granted.....-�Y-ilA..xQ54-.................................•- - 19..:.....for the lawful use of the building(a) or other structure(s) situated or to be situated at-564..Ghtclosrdng.Ad................ ••--- Isu.a .nd ee..bd s,related to the KEEPING STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. _ ANDOVER.............................._ 20,000 galas gas. underground Noyes Thi•cerGfic•mpf md•�ra�on mmt b<da^cd br the holdo of the Ecen« If••m 1:«,.«wassr•^f oa prior to 1u1*1936,e�hcr^i•e by the owner .m of thnd .. .. ............... . .... Received ..h84 ................................... _ si.^.,..et ............................ ..........:....... 7 ....... ts,a...a.,n.. ...... mwrrl ..................................:._.....................................:................... IAdd..vl' , .. NOTE: COMPLETE TOP AND BOTT�TO�M OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICiSING AUTHORITY (CITY OR MVN CLERK). U DO NOT RETURN FORM 'T!<QT DEPARTMENT OF PUBLIC S)WETY. I )]-'S C�hE (9ummunfundth of Offlazzur4 offs. lugDepartment of Public Safety—Division of Ire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NORTH.-' tZ•N, D VEK.--...�R a�Q... �s...:3 .r-. . In accordance with the provisions of Chapter 148. Section 13, of the Ceneral Laws, the undersigned hereby certiSe ntr y.,Tr! t.................. Address ... ..............................................-..... . ........... -!!�Y._lla..�2S3........................... . . 19.-......for the lawful use is the holder of the license granted...... of the building(s) or other structure(s) situated or to be situated at.:5611..C2ioker3sg.lW.------------•- (an.er .nd numlrrl as related to the KEEEPII�N�Gj STOORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. - 14011 I'1':'?iNUF.f,16• LIi............................... 20,000 gals. gas. underground Nmm Thin coli6eae of reaislralion mu.l be dared by old<r of the Cecn.e If..Id .a p.nled prior m Juy 1. 1936,mher,ri.e by ah. ,+ne eup. o the Received ........'Bf. .1..Q..t�....hl.t^.:l-.....19........ .............. by ................. ......aaata4s..e.1NA)i.............6....... _. Y4313 HM01 ............................................»-...-.. ..-..-........-........--...... (aub rhN4r wneq mupul.r 1.eMv) . ....................... :.........9.at1:1.73iNY.A-...-...._::...... ...» (oaragMg;83a . NOTE: COMPLETE TOP ANOTTOM OF FORM AND FORWAnBOTH SECTIONS r7_j0 AND FEE TO LOCAL ICF.NSING AUTHORITY (CITY OWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. � �I�e (t�amntutcfnettltf� �,�£ �illttssttcljuse#s Department of Public Safety—Division of lire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ................_NORTH.J11MV ER .................Ar[u L..'Jo.. 19..,... ICib or Townl (Dow) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .............Haffner.Realty,..TF.?d@t....................... Address .......69 Parker St.a._Iawrence,..MeA................. (name of holder of Iieenwl is the holder of the license granted......A!?K!?@t..9.r...19R2.......................... . 19........for the lawful use of the building(a) or other structure(a) situated or to be situated at... ......... ing.Rd..................... (street "d„..we) ad related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ............NQRT.H..M.P.M. .................................................. 6,7001 Gale. Diesel Fuel underground wlw or Town) (Vote: This ,,ti fi<me of eeai.t.d.re must he maned by t lder of the lieens if uid�liton. -u,a—nosed prior to July 1, 1936.otherwviq<by the Received ............................ .�.0.1.1....VI�........ ... :... _n.e by ...................................EfF!........�� 9Ia an.) p J� ......-ist.a ' ..................... ..................... ti R uV.R..... (Oalei<I Title) fit(�h 7��d .............................................................................................. IAddrew) NOTE: COMPLETE TOP &D BOTTOM OF FORM AND FOi{�RD BOTH SECTIONS �OU AND FEE TO LO L LICENSING AUTHORITY (CI'1�OR TOWN CLERK), -DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The f90mmanfvt 4 of �ttssticf�usef#s Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ......North...A.ndog.SS..........A.uBus.t...l.Q..... 19..62. . ........ (cgs or Tnen, (wte) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned herebA a retifies that e.'ther Realty..T;rypt............. .. Address ....6 ..psstkar... ............ .......... . .No,.ofhol. ..... R St...Latdnenee•r��Maaa��0}8)43 INnme of holder of littnre) is the holder of the license granted.....aHB:Nst...Qa...14B2........................... ..19........for the lawful use of the building(a) or other structure(a) situated or to be situated at..,5k 4..Chieksria— ..Bd.......... men :.. (a and numen, as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. N.or.th..Anda ar........................................ I City or Town, 6,700 Gals. Diesel Fuel Note; This certificate of registration must he sinned by the holder of eIt 1 f d 1'j MF nder round Prior to July 1, 1936,otherwise by the finance or oecuvant o Ian,/licer(eFd�"Y as�ncR g Received ...... ...........................................19........ .......N3A00�yC.kayak................. A8d"A HM01 ................. by .. .. ...._ • - ONOI 131NVO ...............S..............a. M3Q ttax ............................... ( tate.1nt,ar noner(Olkitl ; V....n.t..a....:A..a.l.d.r...,............... Tltlet .............................................................................................. NOTE: COMPLETE TOP AND FgMTOM OF FORM AND FORWAR��BBOTH SECTIONS AND FEE TO LOCAL LIVENSING AUTHORITY (CITY OIiOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SSAAFETY. fI•'S 0 The (Qummmtf cAth of �Crzssttrlpzsetts. Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BORTON CERTIFICATE OF REGISTRATION NORTH...� Iw�rQVER:--...inz(zz Aaa... 19_82.. In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certififie tthat Par rSt. Ii1fl'afYea Ba 1/rr ?&sit .T.?:!!4F.................. Address .... .......)4!...........a..................................................._ ................................. ............ . f the.f ides of lir an is the holder of the license granted.......KST.-11+..1Q54-.........................................19........for the lawful use of the building(s) or other atructure(s) situated or to be situated at.:$6j;i-.L'hfobrlyg..gdv.------•-..-.••••• (sn.r, .na n.mber/ Noelatedto the KEEP NG STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 1R 11 j�J� IA1iI1jt��I1 )bJ L1js'2t(a 20,0000 gals. gas. underground Note,Thi,rerdlirae of ec6i.totion rmt be.timed by the holder of the licen.e if rid fire...e+.sr.oted prior to lull I, 1936,otherwise by theyW .l of.h..el.m..d...l ..a .'...........Received ....1OW-91-1......0...�.........19........ ., . . by .................«..tl3A0.6N1YailNOH......................... ....BN111.13IN.Y.O...............::........... tat.te.heser ...e.. .rrorrt..l.taep . . f0'1RI344tl - I NOTE: COMPLETE TOP AND A&TTOM OF FORM AND FORWAFA&BOTH SECTIONS AND FEE TO LOCAL 111111FENSING AUTHORITY (CITY OMFOWN CLERK). DO NOT RETURN FOR TO DEPARTMENT OF PUBLIC SAFETY. hle (9ummanfuVith of fflassarlptseffs, Department of Public Safety—Division of Are Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OAFS QRTE�JGISTnRA�/T[IpON 1{01111I LI�Y�L {a:.....AFAI-30.. 19........ In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby cer},�'fi th*t 69 Parker St. - 1ta2' Star Bea1t.L.1Y;!!4t.................... Address ........................................ ................. ta.u.a.r nda..r uan..l � is the holder of the license granted...._Nv—Dw._l2.7.)k...................._........�tt 19........for the lawful use of the buildings) or other structures) situated or to be situated at.:..Zr _7�...:4 ?:).Bg..*L.._................ ISust and —tall pp�a�a related '�(t�Jo the (KA�'E'nEEPII�NG[[ST1p�ORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. - .....IQoRTH...iQi1UF1 ER............................... . 20,000 Gale. Gas. underground Nmft Thi.rertiarme of rediaelion mo.r be us.md by the holder of the liern.e if amid lirr..e....ar.nted prior to Judy 1, 1936,otherwiae by th n /, pant o the land li d. ��y r orr nu Received ..........� la'11—t.....8...14...19........ .....:. ... ..., .....D. n CX!:!r:......... Iw aura by ................................ F�Q0r�NMOlf)ll.................. .....:...:...........................m.:................................ �ap3A�303Hp.................._ star satr ..un.. or.np.m or moan . ..................................._..................................... twaa—r NOTE: COMPLETE TOP BOTTOM OF FORM AND FOR D BOTH SECTIONS AND FEE TO LO# LICENSING AUTHORITY (CITYR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. 'The (funn M*jex[#4 of sadjuse#s Department of Public Safety—Division of )+ire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE O 10II IDR6TIOV ....... 19...��. ICity o. TowVER ^ 30 nl ..... . (atel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .............114rfAe.r-. lty..Trust....................... Address 69 Parker St. Lawrence .................................................................................... I N.—of LWd.,0 1k....) is the holder of the license granted.....M.Y..l4,),959...........................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at..... 66..CUcker3ag..Ed,................. ;s...n .nd .,.,ne..t es�rg(gtr�to the KEEPING, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 111TIIV17Q71T1L1 -AND OW 20,000 gals. gas. underground Note: Thi t fi t pf,..eg t eHtln my.t be fined by the hold of the lic .if uid Iieen.e was panted p t 3.1, 1 1996,oih." the o a by ne or upant of land 6cenx Received DIC Y ' I°9�. 19 i .......... L. ........ .. �s;m•m.a by .. ......... ... .. ... .. ISure.EetEe.o.ner. meop.nt ae MWep Inlgei�f. .,� fC'-Z .............................................................................................. IAddreefl � qSa NOTE: COMPLETE TOP BOTTOM OF FORM AND FORWRD BOTH SECTIONS AND FEE TO LO LICENSING AUTHORITY (CIT R TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC. SAFETY, Ae 'ff=M0r&Vd'4 of gsttr use g Department of Public Safety—Division Of Are Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION QQ� _. N Il 11. AHQUJI.ER..:...April.30....... 19..::[.. In accordance with the provisions of Chaptertow or a General • e u hereby certifies that 148, Section 13, of the General I.aWa, the undersigned ..................K.a:Y.R71dF.. .d7,t<X.T.t'uBG.................. Address tN.me of W&r of 11mmmt ......... .P.ar1091:.$t,................................. .. ............. is the holder of the license granted.....).ky.l3a,„�zk...... of the buildin """"""" ••'-'-19-••-• for the lawful uee g(s) or other structures situated or to be situated at.......Sbb..Gb1CAW.i: pg,_Rg (sOraet g............... .M munarl . .•..•BD�Pth A PINWI STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. fay ... 20,000 Gals. gas. underground Note: Thi.eertiBc.t.of registr.tifm m„nt be.ismed by the holder of the licence if sets limess wu 1, 1936, heise H the ow r oeenPm o 4n e _ f the Prior to 3.1r w rw ar+oled sensed. Received. .............:...................................19........ -o by .......................................................... ....................................................---------- IOfioiel Tied .........................................Idyl_ C1 �lJ NOTE: COMPLETE TOP A BOTTOM OF FORM AND FOR RD BOTH SECTIONS AND FEE TO LOC* LICENSING AUTHORITY (CITWR TOWN CLERK). DO NOT RETURN RM TO DEPARTMENT OF PUB SAFETY.the (aommmtf leAth of flaussatha etts. Department of Public Safety—Division of Are Prevention 1010 COMMONWEALTH AVE., BORTON CERTIFICATE OF REGISTRATION N.O..RTH..ANQOJIER......A it. ........ 19. (Chr..T..n) I (A.l . .... In accordance with the provisions of Chapter 148, Section 13, of the General.Laws, the undersigned hereby certifies that ................. ................... Address .........b9..Parlrer..3L................................................ ' IN.me.!M1MJe,a littwl is the holder of the license granted...May..1.3y..1974............................................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at.......arr&.JQxU. dPK..??41a............... 18trwt .M nw,0..) u rrella ed to the KEAEPPII[N�G�STORAAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ...........11 TH...F11�M.I l........................... 20)000 Gals. gas. underground Now. Thi.c mi6r.w of r ,Wrmton must be sinned er of the license if u)d Iteenee uu ar.nted Received ..._.•_.'Pnor to Julr 1, 1936,wh9,i.c br t o.nee .. ...... ......Ywn ..t l.n .. ................ 8 m.tm1 by ............................................:............................. . ......................................:...:.......................:.....:.....:......:....... 181.te wM1.1M.e....,.ewr.nt e.M1.)f.sl IO�ehl TN4/ . . - .................................................. ...................: IAYrr ....................... g 7 z. NOTE: COMPLETE TOP AND TTOM OF FORM AND FORWA OTH SECTIONS AND FEE TO LOCAL LTUENSING AUTHORITY (CITY OHWOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. �hE (9ummmifnealth if Rmoadjusette Department of Public Safety—Division of Are Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE RATION April 30 80 .. ................_.................... ........ ............ - 19...... ICib or To..) (a.Y) In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that 69 Parker St. Lawrence .............R91) eJ:..Aealty-Trust....................... Address .................................................................................... IN..r.f hrlerr a 1:«.o.t is the holder of the license granted.....NU.a.I,,m54...........................................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at....,56b.•Chicker3ag..Bd................._ lab.et keri ter) as rre((��aa��te to jtth,J�e KEEPING,STORAGE,MANUFACTURE OR SALE OF FI.AMMABLES OR EXPLOSIVES. 1`V '1'i7...N 20,000 gals. gas. underground ' #ER... . y Note: Thi.eertiar.le of reainotion non be.iaor d by Ike holder of the lice..if said]We..mt..pssad prior ro July 1, 1936 otheli.e by the oor oeeup. of the 1. _ t..S1.M7:r^""1.�. ../�.. .... .....................................................^ � m Received ..................................................19...'.... .......... �. � si Blm.wret .. � o 0 by .............................................................................................. .... . ............ ho...................:........ ' teutr.h.tMr,e.owr.r......p..t or..Reldert IOalrla TItM) � � � � COMPLETE T ND BOTTOM OF FORM AND F50 pn AND FEE TO CAL LICENSING AUTHORITY (C OR D TOWN CLERK SECTIONS 0 NOT RETURN FORM TO llEPARTMENT OF PUBLIC SAFETY. The (9nmmntlfi mft of 4%qgjarjp5,,ff5 4 Department of Public Safety—Division of FSre Prevention °pro fo 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ............North Andover April..j0............... 19.72... ........ ....................... In accordance with the provisions of Chapter 148, Section 13,cof the General Laws, the undersigned hereby certifies that Haffner Realty Trust Address ...... St. Lawrence .............. .... ............. ........ I Neme of M1elJer of littn................ el . ...... .. .4..... ............................... is the holder g( the license granted......Ma of the building . „11f,.19fj .......................... ..............19........for the lawful use s) or other structure(s) situated or to be situated at......5611..Ahielraring..Rd............... (at'. em .—WO as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMA13LES OR EXPLOSIVES. ,,,,,,_North Andover .... i ............. `il 20,000 Gala Gasoline Underground Note: Thk ofm S'P `t• mut be eittoed by the holder of the li poor to iken- J,j'11s heewiee b,the o w oeeuwm ofth lend Iiaetee & x ta+tetM Received ............. ...............................r,- 19........ ......... .. ... , _ /.... by � .. talm.mee ............................................::.. ••....••...•..........•....... ...................................4... .... - 181tle wM1NMe owner,eexnent er AWJerI •.•.••••.••••.••••••• ................................................. . . IAddxxl NOTE: COMPLETE TOND BOTTOM OF FORM AND F ARD BOTH SECTIONS Q AND FEE TO L CAL LICENSING AUTHORITY (CI OR TOWN CLERK), DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. Y�CI�e lff==nfVV Ito Of fiffusar4ttafts Department of Public Safety—Division of )are Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .....N9,... ndvoar........Apr11..3D...................... 1s..T9. Iek,oe rownl nL41 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that RaxA14u..R,el7.ty..eruct.......................... IN::me of y. r of litt:wl Address ....bA..Rrt�Car..SA.,..Tnt>vrAmaa...lfaaa................ is the holder of the license granted........NaL..13. ........................................19...... for the lawful use of the buildin g(s) or other structure(s) situated or to be situated at.. 1..Rekering_Rd. ..,,,........,..., as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES, Ranh.Aado>aer..ewv ';F:.wl................................ 20 000 g ,ea�� , Gala• asoline-tmderbround Nwe: Thi e of n oo,he.ian s,ed by the hold of the lices.e P for 03 dEtTS - tee h,the nwnee eopow of the End Ile ..& �a� Received ................._...r,;"i... ...1997.9....by ...................................:................:......... ....... .. .. d LN ...................... ...........................................:.:.:�:.::::.::..... � ........................................................................ IOariet Tltkl :M1� """"' lal.w wtwller ewm.awq.{w 1.IIr•1 40 4t .........................................Ua1:ea1 NOTE: COMPLETE FEE TO LOM LICENSING AUTHORITY C BOTTOM OF FORM AND I RWAJRD BOTH SECTIONS A DT)W TOWN CLERK). 7 4 d DO NOT RETURN"FORM TO DEPARTMENT OF PUBLL1lrr. SAFETY. <L 94c (glu monfita t4 of ssar4n e#ts Department of Public Safety—Division of Fire Prevention k1pi 7010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION Nortli.Andmer.-AprJ1..3a............................. 197a.... (City or Town) (arts) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned he reb certifies that Wifter.,Realty 14vet................................ Address ....................Ce9..kax'ker..S.tl:eaty..Iawrenaee..11aee., ......... .... . . . .. ............. 1 Nwme of Wd"of GamU is the holder of the license granted...M y..71�.IZ9.............................................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at.....Jr.6.4...ribickerlAg..ROA............. is,,. to d.—Isol as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .........................North Andover...................................... 20,000 Gale. Gasoline-0ndergromTd ........................ . Icar.r Tnwnl Nowt This mrtifieste of rs'keri Lion mmt be sian h the holder,".lieen.e if wW lieenre was armed prior to July 1, 1936,otherwise h owner or pmt of the Imd Ilcenred. Received . 05!.. ...�(.�................19? �� mfr t er rp by ..............DANIEL. LONG ,n, CLI 'C.............................. .............................................................................................. ............... :tQQYl:�1d .Q�T........................ (St..whether owner.oeeuownl or bolder) (01116.1 TWO .............................................................................................. (AAd,ew) NOTE: COMPLETE TOP A BOTTOM OF FORM AND FORW D BOTH SECTIONS /• 50 AND FEE TO LOCO ICENSING AUTHORITY (CITY TOWN CLERK). DO NOT RETURN RM TO DEPARTMENT OF PUBL SAFETY The 19 mmmlhlettlth Offlhomhuafts Department of Public Safety—Division of nre Prevention lug 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .....North.Andover.:AP.FA1.3.Q........................ t9.T.$... I City or Town) (Dail In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned her y certifies that ..........fflter Realty..Truet............................... Address 69,_Parker Street Laprence Mass.. .... .... ....... . .........................t...... .............�...... ......f .. (Name of holder of license) is the holder of the license granted.........M?y..1}I.,,} .74................. �� R .....for the lawful use of the building(s) 56TyLo Road or other structure(s) situated or to be situated at....................p-.-.,:Ye........................... (Street and coma er) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .......SIGrt4.dtldaeor.....city.....or....To........................................ 20,000 Gale. Gasoline-0ndergromW I None: Thin cerfiartele of regiemtion nem(be Alto the holder of the .e if aN Hume rm p prior to July 1, 193C otherwise by t < ner or meeu f the bM INeen Received f.fr .I.,'�......................19 .. ..•.:t'.a7..r�� J b DANIEL LONG laien.mml y ...................aW,,NQsHPK. ........................... '3T MR.MASS.018" .............................................................................................. ..................._....:..,.................................................... ISute wFntaer owner.eee.pme er MWerl ' (olarlo TiUe) .............................................................................................. IMdrexl NOTE: COMPLETE TAND BOTTOM OF FORM AND FOWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO llEPARTMENT OF PLBLIC SAFETY. The (tlV=m'dmrAfh of c m*5&5 Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON p� CERTIFICATE OF REGISTRATION North Andover A 1 0 ............. ...... .................P.?'1.... .......... ............. 19.....77 . .Icitr or Town) (bolo) �J�pInn accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned h.ehy ..... fies Trust......a..f..2..1..arFI.R... .......�... ......s .............. ................... Address 6p Parltar ate Tavroncep Naea•......... . lathe.r.wdes of gran MT 23. 1,,971t . .is the holder of the license granted................ .............................................a.ss.�.�.� 19........for the lawful use of the building(s) or other structure(s) situated or, to be situated at..7.81t..C.�!J:e1te3'117�.Road latrwt .na vmnhet NgW14 d erKEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .......................................iciir o.ro:^i................................. 20,000 gale. gasoline underground IYotu Thi.cenifirm.of re[i.tratiou--.t be.i,eed by the holder of the lice..if said lice.e...,ranted // prior Juh 1, 1936,mhe. b> the ow er w aecup t lieenrer/' f!l d. Receives ......�Y/}:o..��...................1s........ JOHN J. LYONS, CMrC G iai. :ds.. ................................... by .....................TOWiV@ygpff.......................... ............ ROVER MASS O1e�5 ....................................................... ...................11Q.N�..........Title..... ........................... lank.eetee.....or..e.at,ant..twen (Metal Tinel IMarcxl NOTE: COMPLETE TOOND BOTTOM OF FORM AND FORARD BOTH SECTIONS / S� AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. Tht QInmtn rdxedt4 of Aftwx1juatto Department of Public Safety—Division Of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION N o rth..!!44"r...........AlSCa.3.9..................... 19..7.7. (City or To.m (a,te) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned he b certifiesthAt .tlY.(Ig Rts4lty Try{, . .................... Address 69 Parlor SWleet Iarfrencs Bass. .............._a'........... ................... . .......... ......a...fsr..............a...............Ce.e.(Noire of Wder or lieeneel "•............. is the holder of the license granted..........x!p.no..V59............ 19........for the lawful use ......... ............. .. of the building(s) or other structure(s) situated or to be situated at......SA..Qba,Q1C>R7{g.RgaQ (sneer and n.,aer) .... ... ............. as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ,North Aadover . . ................................ 20�000 g&U. gasoline - uWer Nmmd OS'VE .................................................. . . (City or Town) Note: Thin ertifit,.a.of regirtr.u.. tnnn he aimed by the holder of the lieenne if wid Ikenre wit tP.n.a dor to Jul 1, 191 other.ir..6 the // q T 4 f wnt of the I cen. d. Received .PI ..�9.J/.,7..........................19........ en by ...JOFJN. J. LYONSy CId C si.n.t.wt . ... ............................... .............. TOWNCLERIC................................ t9 N0:1tN0ols�i.1 iui.iW!.................. .........� .............. .......... /s'�.;.;i��n...o�.n.G.r�..lG. .Q..."...2...... r.. ........ .. ..........................................I .................................................... wedm.l 7 .sr NOTE: COMPLETE TOP&D BOTTOM OF FORM AND FOr&RD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CI'TT-OR TOWN CLERK), DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The (EnmrrrarbeAth of +�ICx imhu"25 Department of Public Safety—Division of Fire Prevention Uul1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION _North Andover April 30 76 ................................................................ 19........ Iciw.r ro.nl Inmiwl In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that ..............Haffner,RealtS_TMgtt...................... Address ..............69..Parkex...Stxa:::t...T.atlr:enCa.............. in.,..of eda.,of a«...) Nay 13 1974 is the holder of the license granted...........................t...1.......................................,,11yg foorr thg lavyul use of the building(a) or other structure(a) situated or to be situated at.............Sbb ChicKering oad .......................................... tanwt mina nembrl as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ......................North Andover.............................._..,.....,,......_...,...,......_ 20a C00 gals gasoline underground (city of Town) Mae: This renifi<me of rc 1 193on must be caned by the,holds of fie license if mhl IhxPmie nu anlpted r to Jul 1, 1936 oaher.'se b the o.ner a t of the Imi IIS�! � Pri y Receiv 1 y��y[�9(„ �y 19........ .. .,...... �� �. L 04V T..C..... "W ..... 18�ma 1.. .............................. ...• —� by ....................XU W N.. Lk;R.K............... ......... .. `7 Wo. Amom,MASS. o1849 ............... . ............. ..... .. ... ............................ . ................................................................................ - tow0a TWO .............................................................................................. (Mtirn.t 7 .sd NOTE: COMPLETE TOED BOTTOM OF FORM AND FORD BOTH SECTIONS AND FEE TO L AL LICENSING AUTHORITY (CI OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. 4 the (g0=IVt&&' Ct4 of A =411setts Department of Public Safety—Division of )}re Prevention UV 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .._...._North Andover A,pril..p 19 76 te....... IAtrI ����ICiV o.Tovnl In accordance with the provisions of Chapter 148, Section 13, of the General Lawn, the undersigned hereby c 'Wes th t ner ealty Trust 6 Parker St. Lawrence M . ....................of he........................... Address ................9............................................a....ass........ the .r censor gran) Ma 11 1959 is the holder of the license granted................ ...b.`.......I.................................... 19........fot the lawful use of the building(s) or other structure(s) situated or to be situated at......,5,64„Chickerirt .Road 1&reet aof mmil eel as related to d,e KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North Andover ....................................... City o:ro.:�i................................. 20#000 Gals gasoline underground Note: This mtifirs e,of rtaistr.tion xmt be dttned by the hdder of the lirenx if xid beat.nu axel pri�q�t/o Julr 1, 1936,othetwix by th n or it"nt of th and licenxd. (� Receivet(J ... . LLViVSr.�.M�....19��... _ . eC� ... •�J')`'Q_. ;eim.mnt • .. ••..••••••..••.• by TOWN CLERK............ NO:'XNf10VElf;'NIkSS..Ot3il................... .............................................. Iaote ........... ...r.oe.. t twae.t ioana rimt .............................................................................................. laaa,e..t „6*k ,-VTeVePtjori ® �q `”' off /�l�se $°SSer � Q $afetY •c�t1� SIi S��" S P4S1;...• e the o ref LpGo �j mow , Se11 1p1 ,�j,� °aer .otRe9ere? ya�tev...:eW��10 d 0� pttr::. °q tb r gt, ..:: 4°r t�b�.:..• 9e4 B t p91s, 4�Y .' 19 e�. ....... Q iVa :• . ?:•� oR erg � ter .:•• .:`pig. ''is yFs Co- do, Jrese st,.•' 2tP8 r0 a g�` ot `re' ' `e •'. 9 tp`°e �,dtptp°�ay49e 1 ,r9.6. JgW 1 a 2ef �too �a cp?�¢pb F�a` gi"aa�° te,'� V,scet�y ` Ole, G,ti P 1 t pt� beTe09 :•.'` pgtbe pr, .,to •." '`•• . else tpeb°� ,yo4�sl Oa6, mpeteeb9 r 'Ipb °t is b e eS,�.:••�°1 s11°C ptbe� i Ole In the tb pv;. 4 1t 6, p of Q he+e8 acto e °f eytee lu..••'`C{t9 °d .ar e ,e< 0ort... tfgwl°�I'G11),,,• '19 �I�� "'Q 71 et f�+e b -eP O �he lie. ...fete:T�Ce pne S�..1.41•''r nian" ' '"' (�tl1t b �nS(e "lice! .. 'm�e `6exEan°Ih° $eCave& .. "I' .............. 11lullllllllllllll�lll e)e'T6ja •�.��NOt.,,��6 �1 „ , M••'"" „pllllllllllllllllAllIIIII°JP eef �crry .Cppbl inn'^n"n"� U onnnnu II^ ,�� � 'II IIIP III I y (QouanoumP84 of Malwarhusfus Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover April 30, 1975 19 .............................................................. t�sr or Town1 (D.W) In accordance lt�wtith the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies FLai'fher Realty Trust. 69 Parker St.. Laxrence. .................................................................................. Address ...................... .. . ........ ............................................ tx.,nn .f hold.. or a.) May 13, 1974 is the holder of the license granted............................................................ . ......19........for the lawful use 'S6rl.Chickeri Road. of the buildings) or other structure Ss) situated or to be situated at............................n$and nba ................. (storetas related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. North Andover.,,,,_, 20,000 gals gasoline underground .......................................... ......... (City or Town) Note:This certificate of registration most be signed by the holder of the license if said license wee granted prior to July 1,1936,otherwise by the owner or pecupant of the tan" Iiiceenns"ed.. Received .... d5...... ig........ � ........... by .......................................................................... ......................................... . .......................... 1Sttee wheMn «. «.vomt « aWdee) (06ichdW Tire) .................................................................................... (Add, .) 7, Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover April 30, 1975 ....................... 19........ (� Tome) Maw In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Haffner 12ea1ty.Trust Address 69 Parker St. Laare.nee. Mass... . . ...... .......................................................... ...................... irram. at nwda m uen») Me 11 1959 is the holder of the license granted...............Y..........g.........50................... ... .....19........for g1 a lawful use of the building(s) or other structure(s) situated or to be. situated at ..Chickering _ . ................................. (so-«a and numaer) as related to.the KEEPING, STORAGE, MANUFACTURE OR BALE OF INFLAMMABLES OR EXPLOSIVES. ............................. Not._Andover., 20a 000 gals gasoline underground (City or Town) Now: This certificate of registration most be signed by the holder of the license if said license was granted prior toq July 1,1996,otherwise by the owner�or ooccupant of d licensed. Received ... ....+.0.1�.......�.�:f19........ L .G.(a..[?�rL( ..; f2r_��.t.�:.......................... .mtt) by .......................................................................... . . ... ..� ............................ ............................................................................... fsmre nines ... onrau.ne or border) (Omen Tina) .................................................................................... (Add—) SSILLaaA.• ..............—.. ....................................... J p t�4�� Of of F1Te prevention �( etyma Ate" 9 ae.,;area tb eJJ 9 00 GIr, t -.. wa fig..•-.. i •, Q,9 p10 Fai 11�' .�eea:.. 1J� 4bt�.pt!aka;:oftbeGel, �µ{ottUyf1,^�"0 v N•:' �tioJ13. g deg: lg. .0� p9tvF8. teY lA3.s b9 ....5....... 'oR �Aey �y c� s 1 0 Vt S yo4�ba4 pa�o9g1 ;tJe�aat�yFyAMta°bea �,.eos`�86 Gl' t°`�9°J OQ'.•' ��� t t0'aas PyE pF 1'let oeO caVcc /y:..✓:. tbeQ �,�q4:• ;$ {ya o pR,9 e�ce e�oy („ t• itb 'F1'`•�� .:;•9tJ6 d120 of tb p l `OA1 7 •k4�'�ea;•` 9l P� ot�eC oP°O � e�+°' .;`:�;+"' 1J aCeS"'0a�` FVg° g0 Jet Pp�1 • '�4°catY`,`YheLAnet° stm.. t;e, bet0. eb°1pa0d' SE01�0da�a 1 s tv, ode I �n 4h' �II'I,t'fr LxaPart-e>ea •,oteft 'ot , ke�teet1),t' , ,9 I 00 11 ��1 fl'dpJI� Op of ad d•4i.1. � ••°��e� Vol Art of w .•"", Ih,j1''Illp° 4'- ! ete d(I I I I y orb or oth IN(�' ' +6y 4 deh b c °f ;d '�fdf sto Bal(o to ReCe ""'• t t ProY� ' 'rh . ➢s:. b9 ........ .. ! • �l�r f�nttfutanarrxW� of ��ss�ri�ttsrifs Departmelit of Public Safety—Division Of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ,.North Andover..,..,,.,. (Clay «Tnwnl' .. Fa..1.Q�iF . . 19........ In accordance+ith the provisions of Chapter 148, Section 13, of the General Laws, (n n hereby certifies tat the undersigned Reg�tY...x3vyt..F9......... Address ......................... ... s�.a at nma« m l »/ ..........4. ..Ybd'keF...S.te......._4E£CP.ce...Masa..... is the holder of de license granted................. j,• j 1 a....a sit'..-""""............ 19........for the lawful use of the buildin64e or other etructureSa) situated or to be situated at.......,5[�ly„p}ij, gr as related tch'EEBPING, STORAGE, MANUFACTURE OR SAL (Shot •ad nub+.>I�a"""•••^••• E OF INFLAMMABLES OR EXPLOSIVES, •s R.C.f(CJ. 31r T—c.S:a..................................• ..••.....• ..•..•• (Clb oe Town) List $ his r attached Note ertlmcate of remistratbn moat be almond by the holder of the license if said license was Prior to lnly 11 1936,Otherwise by the owner or cum the land licensed. gran .//%�Jted Receiv................... ................................ _ 19...._:. i!r. .... . ..... ... ' ..................................... ........................ (ORIeW TiWI •••••••••.•••.••••.•.•.. f&ste ..seta« ownae. «ca •••.•.••- vent « no ,cc)••••••••••••••••••. ....................................... . Pon fr-,2, lOM-5-06-q,2632 /-3- 7 I l�r C'nnnnunwr_ jaf assarfpt mm DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE, BOSTON North A❑rt r �l18 74 Anrit APPLICATION FOR LICENSE For the lawful we of the herein described building .. or other structure...., application is hereby made in accord- - ante with the provisions of Chapter 148 of the General laws,fora license to use the land on which such building...or other structure..., is/are or Were to be situated, and only to such extent as shown on plot plan which is filed with and made n part of this application. Location of Iand..�.64...,Ch.1..Ckerin¢.,hpe..(j„......,,,,,,Nearest arm street........Pl.o.$.6An.t....$.t5.'.B.B.t.................(8 a Ngq�eJ Owner of Land...H,Q.Phi].B.I. @. .a..t<K....2r.U.s-1..............Address ...._(1.4....Parker...St.......Lawrence .,....Ma.a s, Number of buildings or other structures to which this application applies..............I...................................................................... Occupancy or use of each buildings.................. x1R� .._nd................... ............................................................ s & PP stnra�g'e zp�ppp Total capacity of tanks in galfonao—Ahoveground...CBACq.C. .tA....fj....Q.@.rd.......Underground B�20',0�00 Kind of fluid to be stored in tanks................................._........................................................................_l.otal...gallons........ 40,000 Approved Rim"ewi ___..../'2.A. 3 ...........................18 T� .. ...�.. ..�c. - .... . .. Z"Y.I:..t�.... lrW. +>tiw ..... ...... a .................... ...k4....Bi,eaaw...St .... ... Lawrana.a Hasa.(H..a M.. nert.) (vyr.� or s... 4 �> r (10=11nmr'4 of fitsssar4ttsrtts Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NAx 1T#..AF!dover... ....APril.3�x..i974... 19........ In accordance with the provisions of Chapter 148, Section 13, of the General Laws, then undersigned hereby certifies that ., ,Louise Haffner Fournier kerin Road, ... ............ .......... ...................................................,, Address is the holder of the license granted....... y.....7.1a.....7,952.. of the building .... . . . .19........for the lawful use s) or other etructureSe) situated or to be situated at....ChirkrsiBg.$Radr as related to.the KEEPING, STORAGE, MANUFACTURE OR BALE OF INFLAMMABLESn OR EXPLOSIVES. ................................N.oz: h.."dl%er..................... (cow .r ae.,n) Note; Thi certificate of registration meet be signed by the holder of the license R said license was granted prior to July L 1836,otherwise by the owner spent of the land licensed, ReceivA_.� : 19Z/ fddL........ .......... .......................................... tsw. ........ .(Og1.in1 gIW) laveu wh.wa owner. oee.r.ne or h.ldw """""""."' ................................................ . (Atldrwl •f TVmUW=fa4 of m•r4usetts Department of Public Safety—Division of Fire Prevention 9 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..No. Andover. April Nl..1973.. .. .... 19........ �(c;y o:Tool (nab) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ....................kquise3? :?? #:..k'.4.41?.41P. :........... Address ........ Ceh F.14e71' R.g..A.dr............................................ <xvo. of hddw of 6cmoa.) ll 1959 is he holder of the license granted..........MQY........a...................... . 19........for the lawful use '�.h . ........................... If a building(a) or other structures) situated or to be situated atAUh i erin&.Rdn am related to.the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMfABLESo ORo EXPLOSIVES. ............................No....Andove ...................................... row o. T..o) Note: This mancate of regiatration moat be signed by the holder of the been" if said license was granted Prior to July 1,1936,otherwise by the owner or ose.p.nt of the lice need. f Received ...... . . ..... .. ... ............19.7 Cl/.. ..............._.�............ . .......1� ............................. b ................:...... ... ..... . ... ..... .. ........................ ............ .... .................... ................................... Isute owva. omvs.m or holds). - (OgkYl TIW) ...........................................��.... ............................ .... ......o o.......•..u.u_......A6 o........................... The of AnOU411"t#s Department of Public Safety—Division of byre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ....Ro....Andmer.......Apr11..3C,...1;tT2. 19........ way .r T.w.t tn.m In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .....................1,.salsa...Huffuer....FournleaAddress ............Chiulmr.Sag...tsd..................................... IN.m..f nmd...f am.ml is the holder of the license granted.................delay..14..,19.5Q.........................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at...........ClUckering„Rd.,,,,••••.•,,. (awvt end ns eler) .. as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .............. ..........N o.r...AP..1l.e............................................ (011 w Town) Note: This remiante of resimntion must be slimed by the holder of the Resume if mid keener uses panted prior to July 1, 1936.otherwise by the Is or Pent of the 1 d lit sed. Received ... ... . .. . ... 19.lI.�.r.. ......................................... .... .. .. ... .... . .. ,N J. LYOi�`— psi .m by ................. ^ '� .... ........... .. .......L!`lC ... ..... .••••••••_•••••••N4:.ANDOVER.•MA-a`S. . . ...1wn......................... totn.mt seas ..................................... . ...... .......................................... I Aid the (9J mxicOZltvvm(t4 Of 4nowr4tsetts Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NQRTH ANDOVER ....................................................AB.a.Al...29...... 19..11. let,or Town) <Dew In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ..........................Loin-.88...Ha€.fne.s...Fourni-eQddress .....oh-i.rherin.y...Rd............................................ (Nnme of Will-of Ikee.) is the holder of the license granted..... May 11 , —r959 19........for the lawful use of the building(s) or other structure(s) situated or to be situated ....at..ChAcke ring Rd........................... cso..et .,,a mm�xn oe edaiedltpltYn K�Fjf;tq�fh Sftt1�AGE.MANUFACTURE OR SAL OO IFLAMMAgasolineL EXP1.OSIVES. ...................................f7 gals (Catty or Town) Note: This cenifiewte of t0yet.iioa most be eianed by the holder of the license if e.id liven wu grouted am� to JJ 1, i4ii$,�herwix 6y the owno or Deco m of the It eed Received ................Y..................�...............19........ ..p/./>.,..�. .. ../.. ,��:............................ JOHN J. LYONS n' r by ............................TOWN"CLERK................... t ...... ... ........ ... .. ......... ................ J Isu � % 1o..t n.'bolaer) (011klnl Title) .............................................................................................. (AM-0 the CIMMadmItAth of AMMIAPISMS Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF EGISTRATION bL. TH ANGO'v'ER_._MR. 301970.._ 1s............... . .. . ...... .. I City or Town) (Date) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned herebyp certifies that L.ouis...Ha,$rXI.Q>;...F.011mier............. Address ...........*L' ...ren..... trfa,as.A,,,................................ (Name of holUer of anon) is the holder of the license granted..........?44M. 1.A...1.95.9................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at..........Oki1..AkeS:iStg..1.iO,ad........... (Street atd nomher) as Meted to the KEEPING, STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ............. ........... • I.NQ, Tq(j ,D,.AN;Q0VER..................... 20,000 gals gasoline underground r er Note:This renifirme of registration must be signed by the holder of the lieense if said license wes`noted prior to July 1, 1936,otherwise by the ownerw oneuwnt of th land Iieenend. Received .. .. . . . . .............................19........ OPEN J. LYONS sierel ' by ...................Tfa.W.N... .LE:Is.ti........................ !IQ ANDOVER. A" .............................................................................................. ................................................. .......................... Mete whether owner,xeonant or MGr) (Ogkitl Von) .............................................................................................. (AUre..) Z4 the faummodbralth of �Rttsslultnsetts Department of Public Safety—Division of Fire Prevention UV 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover A`ril,,,l},,,,.._._..., ..... lg.b.9.. .............................. ....... Ieity m Town) (Dour) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned h eb certi�ea ,at �out"ise a nee Fournier •••„.• Address Lawrence Aass. ............................................................ ............ .................................................................................... )Name of holder m lice.») 11 1959 is the holder of the license granted.......... ........a.................................... .. ..fi�gg...... for the lawful use "h e7ierin (toad of the building(s) or other structure(s) situated or to be situated at.....................g.................................... t aewm ae related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ...................................Rmth.Andov r...........................20,000 gala gars. underground ICib ae Townl Note:Thig eegiaeate of registration must 6e signed by th der of the Iler m,if maid lemma was granted t prior to July 1, 1936,otherwise by the or oeeopeat,of nthe land heented. Received ................. pPil....15.............19..6$• f'OWN CLERK ..................... ..i. m,meom, weetwo,or.imle..i...................... .......... 0. �DD�aTI1�f}155.. 0184b ................................................... .. ......................................... (naarew) • 0 The (EmIntonfuexkof ffingi lchusettB Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ....NAt..Angover April, 22.y Ig.68., (CIv or Torn) IMtel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ...........Louise... Address .........J as MgnceA...S11assA.................................... (Nnme of holder of Iln,ue) is the holder of the license granted........Y8,Y..7. s....1959...................................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at.... ................. 48.and mmeharl so related to the KEEPING,STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .................No.rth. . ...Arli. ....ov...er.,, ... 20,000 gals gas underground .. . .. .. .. . . Icitr or or T Tors 1 Notet This nedSente of reNhnstlon moat be darted b7 t older of the license if uid]I..ry pentad prim to July 1, 1936,olherwisr by the m mcup lot elf the End Booleed. Received April 22A 1968 ..................................................19........ 181mhte,el by .......................................................................... .............................................................................................. ................................................................................ ISdu whether ovnv.aeeoomt m hWderl IOaeiel Title) ............................................. .. ............................................... IAddrcml Department of Public Safety—Division of lire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION N..orth. ....And.....over. ...........Apri1... .17, 1967 . . . ....... .. .. . (Cite or Town) 10.w1 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ................Loui se.,_Haffner...Fournier Address ...... ae.,._Mfl.�k.s....................................... INanu of IwlJer o!lieenw) is the holder of the license granted.......Msy .11f 19.5.9....................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.....CjAkOKA,Sng,,.R9.r................... (street aM noralw) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. North Arid over. 20,000 gals gas - underground. ........ .. . ICIb or Tawnl Note. This rertifieate of eeaiebation most be A,ned by the holder of the Berme if tald Been.was panted `prior to Job, 1, 1936,otherwise by the owner or oem,rani of the landdJliramardd Received--LY ...................leJ�:�... .,.�.'�.p�CQ/li'J_(���i^.'.ro.ES.It �......................... J HPJ 1. LYONS V"1 s •m^) NO. - •- - .. .....�ca:d..�_.......................... '��"'�r"' Q. ` letate weetM1er eeemnnl ee ANJar)................................................................................ (OIIINaI Titlel 10 ............................... .................................................... IMJrsI ALS t4t (9mmlmntueA4 of AIttsonchuatts Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .N.o.....AW.P ware....AAr.11..30....19.b.6....... 19........ MW or Toga) (aax) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned he�ebUseerl asIXer Fourn ................. Address ... ier Lawrence Masa............................................................ ... ..................... ..............r.......................................... INex-of h",of Iloeime) is the holder of the license granted....... ............... „ 19 ..for the lawful use of the building(a) or other structure(a) situated or to be situated at.ChlekrP 1ltg kd. Ng,r,,.ApAAver. gg y g y ��pr�&r��7 tan«t .ed eaxb-r)�Qa GQa I I!ed Ahe KEEPING;STOICAGE,MANUFACFURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .............N.P,i:.Y>?7...Alai O.Y BS............................................ Will-Town) Note: This rertiarale of regiall.don meet be signed by the bolder of the lieenee if said Ikenee we granted prior to July 1, 1936,otheraiae by the orfner w oeeupant of the land fiemo d. Received ... ...... .....J.V...................19.A... by ............... N2S'.y3. F. N..,J.,..LX.Q. ................... v/ 4Yaim.mn) TOWNCLERK .............................................................................................. ............................ p` p ..MASS................. (ext-abetter oe-.r, xwoem or eearr) AgQ ................................................. ... ........................................ IAddnxl the (9 mmVdmra1#4 of 4nusadjuse##s Department of Public Safety—Division of )ire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION Ncr th Andover.......A .1.1.26 .............. 1965.... .................................. ... .. (City or Townl IDtW In accordance with the provisions of Chapter 195, Section 13, of the General Laws, the undersigned hereby certifies that ...........Lou.iseHaPPner FQ.Bx'x 19tr........... Address ....Lawrenee,...Mass.......................................... (N thold—of lire..) is t I license granted..........MB.X._l s....19.59................ ..... 19........for the lawful use other structure(a) situated or to be situated at.._ChSOkeT!tpg,.jjx...N.Q...AiAdoVer .■ , 18uaet end nomberl �■yY■�■ — o e grp yE I ,STOR ,71fAlV RACTURE OR SALE OF INFLAMMABLES OF EXPLOSIVES. I �V9Y:.................................... M3� to J.1, 1, 0 to of rcgiareti.must be sixned by the holder of the license if maid lieenma wits xrvnted O to IuIY 1, 1936,otherwise 6Y th<ow.er or o.cuPam of the 6n licensed. . .... ....... a - ........................19........ «_ r:Y 1 y to 181 1 pJYaIM 1� I Dw anw e..................I......... !sae Do!Dn s! zit.... ..... .. ..... ......6�n:........... ...................... taalks SOH 1 N!Hss. nit :o:..r:a.�. t...oa.., Ad PIS ......................................._tosses............................................ the ( ammodmW th of 4Hnsuhusetts Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF , REGISTRATION North Andover April 10. 614 .............................................................................. 19........ Icitr or Town) (Miry In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned herebs eerttifie th cc Louis �iai$Yner Fournier.............. Address ....Lawren.4.e.....M@s.9.•........................................ ..........................I issue I N the o f Edgier of gram 118 11 1 is the holder of the license granted.............. ...5........A......959..............................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at.ChiGlf@r!jAg_RdA...N.Re...AA.dover. (Steen am usualer) so elated to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMARLES OR EXPLOSIVES. .................North...Ando,v„er........................................ 20,000 gala gasoline - underground (City or Townl Note: This eertifieme of registration must be siTned 6y the dder of the license if sold Resumes was scantedd pKior to July 1, 1936,otherwise by the o.si a Po escupapt..af,the Isnd licensed. --�� Received ..................19�.`.1.. ..✓. .y/N...CcSa!r .... ..j1T{/a(, ( turel by .......1OPtNt 3:..L.V-014S.......................... TOWN CLERK ......................State wwww�'ow m:on���o:'home:i...................... ..................................... NO. ' ......................... .... . . .............................................................................................. (AM.) • e Lim Thle 191mmintfutaft4 Of Ausinhuatts ru Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION N.Qr tch.._Aml9.yAr.w........ARS11.2a............. 19..63. tear or Tors) tweet In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ......LOUTS liAFF2dIIi 9VURUM................ Address ........_Lawrem.9...Massa...................................... ... ........................... .. INmme of hold.,of Herne) is the holder of the license granted...........MY..�,7.,f....J.9.�,Q................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at..G}1x.Q$pS'.�.Iig_Hd,w...N.Qo...Ax4over. (seems met number) its rc6ted to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ,,,,,,,,.._North••AT.!d..Q,c9.rw.......................................... 20,000 gals gasoline - underground • •• (City or Town Note: This eenificate of registration must be signed by the holder of the lie some if odd Ilrcn.e was grcnted prior to July 1, 1936,otherwise by the or er or oecugpmis of the land lircnsd. Received ....AB3: .7....22d...l9fa3..........19._..... .u.....�LW..L.tt:Gn ..................... by ................ dQHf�L.J....L.Y.ONS................. cv �oiaian.epmt TOWN CLERK ....6. .... ... .......................... �dF�Ove—MASS................. (Hem.heurr mine. o.me or haven eel TIe41 ............................................. .. ............................................... IAddreel JL 2Che ('g= wl*Wfth of C Iffnottrljllseffs Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andoyer,,,_Mssa.......41D.Klq,.j0. 1962_., (Cay or Tuwe) Costs) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby ertifies t t Louise.. .&.ffher Fournier Address ......_Lawreno,e•._9A.y.9.A..................................... ............... ........ ..... ... . ........ (Nome of Addtr of license) is the holder of the license granted......._MgY...11.f.... 3.59..................................19........fox the lawful use of the building(a) or other structure(a) situated or to be situated at..ChlekeTing,_?t_Oad„................. North Andover, idas5 'steeBO end sows"') lured to the KEEPING STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. as rc .NORTH ANDOVER Ri�SS. 20,000 gals gasoline - underground . ..........................A................ 1 City fir Taw Note: This certificate of registration must be signed by the holder of the liessew if mid Resume use grunted ,g� prior to July 1, 1936,etherwise by the owne us uccupunt of the r.d )seen Receivedp�Nt`I '., Qr+��s�2..... 19........ ...5 ... . . ............... ............... d laimetve) by ...........P. _..LYONS................. .. .. .... . .. .......tor J,........ Ef3e••IA:4:SS:................ tat.0 wwteer, ..srsrees w eaeer) o.) .............................................................................................. IAmre..) 0 0 1 Clue (9=MWUfU9n t4 of S"c4me#s Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTOU CERTIFICATE OF REGISTRATION $.............. 19.6 L Mil,o.Town) <AY) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies tkat ................................ 8...xaffner..Fournier Address ...........T{awk'81L.C.e�....Mas.p.n................................. (Name of holder off lleenee) is the holder of the license granted.........Ma.Y..... b.....A5.9............................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.....i t.gkgR!M...Aoad.................. {t 7 ¢¢�At aar^t,, {{�� _ ��yynnrr�1 rr� (street am weral'o) 20F000 FaT8 tNe�KEEP A?STORAf 11R�URE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ...............N.Q?'tkA..AS1S1A.x.P..F.s........ .............................. (City o,Tawnl Note; Thin certifiatte of resin ulion mutt be maned by the holder of the lice..if said lirmor wan,seined prior to July 1, 1936,otherwise,by the owner or occaTmaat of the land licensed. n 4 Received ... ..._o[_fl/...............19.GZ.. ................:ncn.........r'.✓.. .. same". by ,...,,,. HN J. LYONS ,�Q............................. TOWN CLERK.................. ... ....... ............. ::s I...e,..:... 1....b.................................. ..............NQ..AMDoVER...MA.S.S......................... (state w r .. «.t,.a,a,e.wn) (011ki.1 Title) .............................................................................................. (A"—) Toe fllalummdnettlf4 of 41uz=4us&q Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..NP......AAdigR.Prx....Apr.1 ...2 w...196.0...... 19........ (Ciry or Town) Unts) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ..............LAVIOR...ffaffner...F.aurnier...... Address ............Laver.epee,. Aass. ............ .. ................ (Neme of holder of amour) 1 1 is the holder of the license granted.................Y........,1.t......959.................................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at....CILLOkes:Lng...Rd..................... q ,Q ¢ a 77�����.. T����r..�t yy.. qq Istren and .semen OO,e0fl 1-Thai1�EPINC SI 42e1F 9ACFURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ....MO:,;th..And.o.co r.................................................... ICitr or To-.r Note: This eerti Reme of egiseadder,must he signed by the bobber of the license if mid license was gr.nted Prior m July 1, 1936,otherwise by th oecuts.nt of the land notated. Received ...A.pril„21g._1y9QQ(�0 19 JOHN J. CTDNS.. ......_ N.. Sa..... _; ..... b LC�:i< 1 mnmrc) y .........................T.ou N..G.. : ...................... NO. ANDOVER, MASS .............. ....:f.............................................. ......................................... ....................................... X 19tnee whNher owner.«« t ore beld (011trial Title) ............................................. ................................................ __ . IAddreul ® r tht (gAtttIIItOT[x of c4"SariptSP'ttS Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .&x....Andose.r.....X&V.....19�.....Y9.5:1..... 19........ (City or Tc 1 (Da4) In accordance withthe provisions of Chapter 148, Section 13, of the General Laws, the undersigned here0yulse� a"Iter .............. Fournier ................................................ .................. Address6L ......Lawno.ea •Hasa. 'N.— of Wde of lkeme) is the holder of the license granted.............]MY.....1..1a....,;9.r7.9...............................19........for the lawful use ooffth bbildin (s) or other structure(s) situated or to be situated at...F.],m§lWt...Ur,,,Cgg,tChiGJcering R 20a�0(� garla gas—underground (strata^^ aaamer) as related to the KEEPING. STORAGE, MANUFACTURE OR BALE OF INFLAMMABLES OR EXPLOSIVES. ................North.,ARdAyer......................................... (Cib ae Tawn) This certiarate of registration meet be signed by t holder of the license if said license was granted . prior to July 1, 1936,otherwise by the ow r or occupant of the land licensed. Received .. ..... .19......1.95.9. by •••,••,•.••.JOHN J. LYONS (aua.teni .................TC:YN••.C.'t_•E'RK......................... t 4 �. ............. .................... ....... .... .......................................... •....••........., NO.•AN DOVER, MASS.................... (m.te ether v.ver, vavv.vt or aoaer) (OHkiat TI<k) ........... .. . ............ i..... (Adds.) DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON 2I 19S T (atr ue T...) (D.M) APPLICATION FOR LICENSE For the lhwful use of the herein described building.. or other structure...., application is hereby made in accord- ance with the provisions of Chapter 148 of the General laws, for it license to use the land on which such building.... or other structure_.. Ware or is/am to be situated, and only to such extent as shown on plot plan which is filed with and made a part of this application. Location of land.... ....... .. . ............ .[. 'r"+Tf Nearest aces etreet.... �.... ...... .. .... .... ...... (8n-aety Owner of ]end. ....6.f.......!.�k[.�.,G..�e.Gr.....�...., o � . Number of buildings or other structures to which this application applies..................................................................................... Occupancyor use of such buildings.............._.._. . ... .. .. .. . ......... . . .........I....... ..................................... .... �, ... !...............Underground Total capacity of tanks in gallons:—Abovegro . .✓_ ......... Kind of fluid to be stored in tacks.....n?.� ... �r� ... A�_....'�.+i.*�G.r.../Q._4."/'Y...yax.a.... /y't/"/a,-.+�/_$JI4�:!�f.�et-ice..a Approved-2iSlPb*4d ... ... .5.......................19,516 /:c/Rlt,(�RA.BIa..a noen avy_. �r:N`t .......r.\�J\rT^`+� ... .. ......._ . .............. ....SL..�.v.f..........._.......... ........(a... ..... ..... . ..+..c.✓'.'.._ a�y \I M "..d of 11- Met.) f�aatau) ' TOWN O*RTH ANDCVER, MASS. MASSACHUSETTS FROM TXE OFFICE OF 20R--or-Asmam APRIL 30, 19 74 To Tom Clerk ref; Application for License Haffner Realty Trust 546 Chickering Rd. Storage tanks for gasoline. The Singer Co. Mr. & Mrs Anthony Cegelis 12C K. Marlton park 171 Pleasant St. Cherry Hill N. J. No. Andover Mrs. Loretta L. Willis Mr. k Mrs Andrew L. HUoo 75 Waverly Rd. 181 Pleasant St. No. Andover No. Andover Mr. & Mrs Ernest Harvey Mangano Realty Trust { 25 union St. 579 Chickering Rd. No. Andover No. Andover, 1 Mr. & Mrs Marva Vemile Mr. & Mrs Charles Randone 4 Lincoln St. 27 Buswell Ave 1. North Andover Methuen Mass. 1 S�� I Nam„ CbWN OF NORTH AND(VER JOHN J. LYONs, Town Clerk C.M.C. �h354C.Ug4 F ECTIOR DEPARaxrFxc TOWN BUD.DIN6 JUSTICE OF THE PEACE TOWN ANDr)"R, MASS. 01845 Dear Friend: May 1, 1974 It is required by law that you be notified of the following hearing as being one of the said abuttors adjoining said property involved: TOWN OF NORTH ANDOVER. MAY 1, 1974 Notice is hereby given that the Board of Selectmen, Town of North Andover will hold a public hearing on MONDAY EVENING MAY 13, 1974 at 7:30 P.M., in the Selectmen's Office, Town Building on the application of Louise Haffner Fournier, 64 Bigelow Street, Lawrence, Mass., for a license to store underground 20,000 gallons of gasoline, this is in addtion to the existing storage of 20,000 gallons at 564 Chickering Road, North Andover, Mass, JOHN P. KIRK, JOHN F. COADY, JOSEPH A. GUTHRIE. BOARD OF SELECTMEN. If you have no objection to this license being granted, it will not be necessary for you to attend the hearing. Please call upon this office at anytime we can be of assistance to you. Very truly yours, JOHN J. LYONS. (IMP Tontmmiwraltb A. Massttr*etts DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. 805TON(Mtr Or TOaO) (DgM) APPLICATION FOR LICENSE For the lawful use of the herein described building .. or other structure...., application is hereby made in accord- ance with the provisions of Chapter 148 of the General Laws, fors license W use the land on which such building.... or other structure.... is/are or is/are to be situated, and only to such extent us shown�on plot plan which is filed with and made a part of this application Location of land .... .. � ......Neareat crass street -fie- Owner of land/^:cs.i„¢r^` .z7Jtla+act/Address . ..�. Number of buildings or other structures to which this application applies.._. l.Y �1 AG°i Occupancy or use of such buildings. . . .... Total capacity of tanks in gallons Aboveground b .. Underground,�acsA�ra� �... Kind of fluid to be stored in tanks.. .............. .................................................................._......... ...y ._P_v-0AcC Approved—AMINNod ...f:./. ..4cY .......5 . ......19S y:�,. G-+ !:'Q:ee<'sfi .✓'*'6/,,.�iu.GZ Ideal oe Mrs DepA) / (Aaaregg) � � ' of 4P Tantmnnwralt4 of massar4usrtts DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON °lGr+n fm id er, May I 1 19 59 (Ct1, Tuwn) (nntel LICENSE In accordance with the provisions of Chapter 148 of the General lAws, a license is hereby granted to use the land herein described for the lawful use of the building.... or other structure._. which is/are or is/are to he Situated thereon, and as described on the plot plan filed with the application for this license. Location of land _ Otick "IO I ..............................Nearest cross street . t..8�g'dd1<.... ._..... is �"t%�, imhepp Owner of land LpUl®B..H8f1`tier..Y'Cl¢Imp� . .....Address ....6{.Bl6d3or$t.y.�� ..._.... Number of buildings or other structures to which this license applies ............................................. ._..._.... ............ Occupancy or Use of such buildings .. ........._... .................. ............._.. .........._.. .......... ........_.. Total capacity of tanks in gallons:—Abmegroundd_�,�r 4 asM...... Undergrouad �. Mud of fluid to he stored in tanks ........ RestrlctionS—If any: ..........._..........................................................._.__._.__..................................................................I..,................. .... (sige t [ 1 e' a thong) (3i4rnefl, Boam Of $eleeti IBTt THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THEREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED j� � Y / � \- I o-v yJ - � T' ��- dE9 RM�E �y � n � Ptso�n S60 eEL \ �\ e e � � x fi /yOYJ, e-v-u /rvO f/dE0 C/xSGi,N< —V_L `A�'� �r Se O �SASeL.iE ____.� d'� �'✓� _._ _ � " a69, oP ' n i d, - �� fl y—�uc � <G � 07 �.Qecitci �`�0 `""'ye-�s� � �Pw-�-...of.��'-77,6-i�i ��i/� Louise ( Haffner -- Chickering R 200 ft. (Fournier owner) Village Land Co. 6 Elm St.North Andover Eileen M.Lynch ) LorettaL.Willis) Pleasant St. N.A. Hattie H. Wrigley 4 Lincoln St. N.A. Eppo & Jant3e Walvius 173 Pleasant St. N.A. Andrew L.& Margaret G.Bnoo . 183 Pleasant St.,N.A. Guiseppe Messina 164 Sutton St., N.A. Stephen & Anna Helbick 206 Pleasant St.,N.A. Domenick & Mary Mangano 205 Mass. Ave.,N.A. John J. & Alma L. Subatch 404 Sumer St., N.A. onr oveice OF TOWN CLERK NORTH ANDOVER MASSACHUSETTS JOHN J. -mNS.T.wN CL... April 30, 1959 Dear Friend: It is required by law that you be notified of the following hearing as being one of the said abuttors adjoining said property involved: TOWN OF NORTH ANDOVER April 30, 1959 Notice is hereby given that the Board of Selectmen, Town of North Andover will hold a public hearing on May 11, 1959 at 7:40 P.M. , in the Selectmen's Office, Town Building on the application of Louise Haffner Fournier, 64 Bigelow Street, Lawrence, Mass. , for a license to store underground 20,000 gallons of gasoline, 10,000 gallons of fuel oil, and 10,000 gallons of range oil at 564 Chickering Road, No. Andover. Ralph E. Finck, Chairman William A. Finneran Philip Sutcliffe BOARD OF SELECTMEN If you have no objection to this license being granted, it will not be necessary for you to attend the hearing. Please call upon this office at anytime I can be of assistance to you. Yours very truly, JOHN J. LYONS.