2014 Extension Permit - Florence Street to WilliamsburgBk: 11687 Pg: 175
HAMPSHIRE
REGISTRY OF DEEDS
DOCUMENT
COVER SHEET
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DOCUMENT TYPE: PMS■9vt `245111111- 4c cr ( c�ii or
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Bk: 11687 Pg: 176
Massachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 7 - Extension Permit for Orders of Conditions aq6 " S 8
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. General Information
1.
Applicant:
l ylltt dim Noon O't9
a►o , Vean l I
iing ss
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tyrrown
2. Property Owner (if diC� l'""ntn
Car N
Pfanni -f Ui �tbill'�Y
M14 0060
State Zip Code
Mailing Address
City/Town
State Zip Code
B. Authorization
The Or er of onditions (or Extension Permit) issued to the applicant or property owner listed above on:
q2004 Issued by: + iD `" ttm�'" V
D e y' Conservation Co fission
(kicst t&Swd f ?lob) � ,, c �,00- DS 0311
for work at: Street ddres l Assessor's Map /Plat Number Parcel /Lot Number
ocpir e. �� I��l(tarnsb�� T�
rec at the eglstry of Deeds for:
likfl4ift
County
:06331g
Certifica e (if registered land) 119411.6 (�����ODt
is hereby extended until: D Dat the Or er was last extended (if applicable)
This date can be no more than 3 years from the expiration date of the Order of Conditions or the latest
extension. Only unexpired Orders of Conditions or Extension may be extended.
This Extension Permit must be signed by a majority of the Conservation Commission and a copy sent to
the applicant and the appropriate DEP Regional Office (httD: / /www. mass. eov /deD /about/reaion /findvour.htm)
wpaform7.doc • rev. 3/1/2010
AMTEST: HAMPSHIRE, )--X1
MARY
rtty
LBERDIUA'
REGISTER
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