38A-050 (26) BK: UUUbt1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 7 — Extension Permit for Orders of Conditions 246-537
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. General Information
41.3
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s ,Importsn :
When filling out 1. Applicant: Bk:9058Pg: 1 Page: 1 of 2
forms on the Reoorded_03/06/2007 03:09 PM
computer,use Hospital Hill Development, LLC.
Name
only the tab
key to move 1441 Main Street
your cursor- Mailing Address
do not use the Springfield MA 01103
return key. City/Town State Zip Code
2. Property Owner(if different):
Name
Mum
Mailing Address
City/Town State Zip Code
B. Authorization
The Order of Conditions(or Extension Permit) issued to the applicant or property owner listed above on:
January 26, 2004
Date
for work at:
Village at Hospital Hill (Northampton State 31C; 38A 17; 86&50
Hospital) Assessor's Map/Plat Number Parcel/Lot Number
Street Address
recorded at the Registry of Deeds for:
Hampshire 6925 302
County Book Page
Certificate(if registered land)
is hereby extended until:
January 11, 2010
Date
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.
Date the Order was last extended (if applicable): Date
Issued by:
Northampton January 11, 2007
Conservation Commission Date
wparorm7.doc•rev.3/1/05 Page 1 013
Bk: 0905B Pg: 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
�y` WPA Form 7 — Extension Permit for Orders of Conditions a ,-537
i' Provided by DEP
Massachusetts Wetlands Protection Act M.G.L. ,. 131, §40
B. Authorization (cont.)
This Order of Conditions Extension must be signed by a majority of the Conservation Commission
and a copy sent to the applicant and the appropriate DEP Regional Office.
Sig natu
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Notary Acknowledgement .A�c
Commonwealth of Massachusetts County of �"Q`'NIge
`4k K MBE, 2c040
On this [Day of Month Year
Before me, the undersigned Notary Public, personally appeared
4 hRIR,- v .--
Name of Signer
proved to me through satisfactory evidence of identification, which was/were
ro
Description of evidence of identification
to be the person whose name is signed on the preceding or attached document, and acknowledged to
me that he/she signed it voluntarily foru its stated purpose.
/
As member of City OP 1 et4 Conservation Commission
own
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4 1 \\\ si•nat e of Notary- •is
Printed Name of Notary Public
Place notary seal and/or any stamp above My Commission Expires+(Date)
wpaform7.doc-rev.311f05 Page 2 cf 3
ATTEST: HAMPSHIRE, 141;01e;Zi. 64--;-RE( ISTF ,
MARIANNE L. DONOHUE
Hampshire County -20/20 Perfect Vision i2 Document Detail Report
Current datetime: 1/24/2012 6:46:28 PM
Doc# Document Type Town Book/Page File Date Consideration
5413 EXTENSION 09058/1 03/06/2007
Property-Street Address and/or Description
VILLAGE AT HOSPITAL HILL, NORTHAMPTON STATE HOSPITAL
Grantors
NORTHAMPTON CITY CONSERVATION, HOSPITAL HILL DEVELOPMENT LLC
Grantees
EXTENSION PERMIT FOR ORDERS OF CONDITION
References-Book/Pg Description Recorded Year
06925/302 DEED 2002
Registered Land Certificate(s)-Cert# Book/Pg