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HomeMy WebLinkAboutMiscellaneous - 24 Autran Avenue (2)r`Z Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: 1 WPA Form 5 - Order of Conditions 242-1216 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. General. Information Important: When filling From: out forms on North Andover the computer, Conservation Commission use only the tab key to This issuance if for (check one): move your cursor - do ® Order of Conditions not use the return key. ❑ Amended Order of Conditions ratr rem To: Applicant: Property Owner (if different from applicant): Christine E. Robbins Albert &Patricia Marshall Name Name 24 Autran Ave. 83 Farmersville Road Mailing Address Mailing Address North Andover MA. 01845 South Sandwich MA. 02563 City/Town State Zip Code City/Town State Zip Code 1. Project Location: 24 Autran Ave. North Andover Street Address City/Town Map 45C Parcel 23 Assessors Map/Plat Number Parcel/Lot Number 2. Property recorded at the Registry of Deeds for: Essex North 5039 3 County Book Page Certificate (if registered land) 3. Dates: 9/19/03 n W03 J% 17 0.3 Date Notice of Intent Filed Date Public aring Closed Date of issuSnce 4. Final Approved Plans and Other Documents (attach additional plan references as needed): NOI 9/19/03 Title Date Plan of Land 1/15/03 revised Title 9/19/03 Title Date 5. Final Plans and Documents Signed and Stamped by: Scott L. Giles P. L. S. — -- Name 6. Total Fee: $55.00 (from Appendix B: Wetland Fee Transmittal Form) \doc • rev. 12/15/00 Page 1 of 7