HomeMy WebLinkAboutWaiver-Request---Form-WQ:\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- ) 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. _______The agreed
continuance date is:
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:
Property Owner or Applicant or Authorized Agent name (please print):
__________________________________________________
Signature of Property Owner or Applicant or Authorized Agent:
___________________________________________________
Date of Signature: _______________________
Authorization for Agent:
I, , am the Property Owner for this NOI (SE3-_________)
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
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