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CCI02232022Planning & Sustainability • City of Northampton planning ( resiliency I conservation I place -making I sustainable transportation I zoning I GIS I historic I CB architecture I agriculture and food 413-587-1262 WAIVER/EXTENSION REQUEST Please complete this form, sign at the bottom and return email to the address indicated above Date: 1, ` \e , tsLu ud (wetASS 0 L., hereby waive the time period requirement for a public Name of App ' nt or Representative J hearing / meeting following receipt of my filing of; Notice of Intent 0 Request for Determination of Applicability ❑ Other by the Northampton Conservation Commission under Massachusetts General Laws, Ch. 131, sec. 40 and its Regulations, and/or Northampton Wetlands Ordinance, C 337 of the Northampton Code. The request was submitted on: 2r,2,`2_- for work at: RivevOY cal*. Date Filed Location / Address of where work will be done I am the: V Applicant ❑ Property Owner ❑ Applicant's Representative C%<kCeri $ v.; vt) A&s o e . (Signature) (Date)