HomeMy WebLinkAboutComplete_with_Docusign_Waiver-Request---Form signedQ:\Conservation Forms\Form WC.doc Updated 01/06/23
Continuance Assent Form
WAIVER OR CONTINUANCE ASSENT FOR NOTICE OF INTENT
I hereby request or assent to the following action (check the appropriate item in the
checklist below) to my Notice of Intent (NOI) application (SE3-6339 ) in accordance
with the MA Wetlands Protection Act MGL Ch. 131 Sec. 40 and the Town of Barnstable
Code - Ch. 237 (Wetlands):
1.A waiver for the opening of the hearing on my NOI application within 21 days of
the NOI submittal_______
2.A continuance of the opened hearing on my NOI application. _SE3-6339_The
agreed continuance date is: 1/6/25
3.A waiver of the deadline for the Commission’s issuance of a final Order of
Conditions within 21days of the closing of the hearing. _______
The property address for this NOI is: 270 East Bay Road
Property Owner or Applicant or Authorized Agent name (please
print): John O'Dea (Agent)
__________________________________________________
Signature of Property Owner or Applicant or Authorized Agent:
___________________________________________________
_______________________ Date of Signature:
Authorization for Agent:
I, Laura Beth Trust, Tr., am the Property Owner for this NOI (SE3-_6339__)
and hereby authorize the above Agent to represent me on all aspects of the subject
NOI application including assenting to continuances and/or waivers of hearing
opening requirements and/or continuance requirements.
Property owner signature__________________________________
Date of Signature:
Town of Barnstable
Conservation Commission
230 South Street, Hyannis, MA 02601
E-mail: conservation@town.barnstable.ma.us508-862-4093
Form WC
WWWWC
Docusign Envelope ID: 7B8D362D-A5DD-49DB-B81A-C40F57EB6E42
12/30/2025