HomeMy WebLinkAbout20230425-RDA Form PA - Mullin-89 Blue Heron DriveTown of Barnstable
Conservation Commission
230 South Street
Hyannis Massachusetts 02601
Form PA
Property owner's name(s)
OIIice: 508-862-4093 E-mail: consenation{a.town.bamstable.ma.us
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Permisslon to Acces3 ProDortv
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Applicant's (R€prosontative's) Name(s
Prqect street address Buqe ERoN pelvL asT€AVILLE
read the above nd undsrstand and agree to allow lnspoclions as described.
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Signature of property owner
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RepreBontatlve's slgnatu
Adoptrd March 15. 2022. cffcctivc April lt. 2022.
Oate signsd
Bamstable Assessor's Map & Parcet: rUap- 1 l-Z- p"r""t-Q O f,_
Appticanr's contacrphoneNu **r, 5o6 -36o -3) I I ( p *aee,t Ueyon)
ACCESS TO PROPERW PERTISSION
As the Owne(s) of ths above referenced property, l^ve hav€ been advised that under th6 provisions ofthe Massachusotts Wetland3 Protection Act (MGL Ch 131, Seclion 40) and the Town of Bamstable
General ordinanc€s (chapt€r 237), the Bamstable c,onservation commission, its Agents or its
designated staff are authorized, as a mattar of law, to enter the outside ar€as of th6 property for the
purpose of reviewing the existing conditions and the proposed work as described in mylour application
(Notice of lntent or Roquest for Determination) to the Bamstable Cons€rvation Commission. Wh6r6
possiue, notic€ will be provided to the applicant prior to th€ visit. Visits will occur during daylight hours on
either weokdays or weekends as necessary for the Commission and its ag6nl to examine said property. I
undsrstand that if attempts to contact me are unsuccessful, the Commissionor or its agent may proc€od
to inspecl the outside a.€as of said prop€rty und€r this application.
l/we confirm my/our und€rstanding the purpose of this permission and l/we grant permission to
commissioners, its ag6nt, and its d€signated staff, to €nt6r the outside areas of my/our property
regarding this application for the period as desqibed below:
1. From the submission of the Application (Notice of lntent or Request for Ootermination) until the
approval of th6 Notico of lntent Request or REquest for Determination; and2. From the issuanc€ of ths Orde(s) of Conditions (approval for Notice of tntent) to the completion
of th€ ptojed and th€ final insp€ction by the Conservation staff to confirm the completion of theproiect
Date llgnod
oq - o z-23