Mass. Gen. Laws ch. 160 § 111
A party aggrieved by a decision or order of the county commissioners in any matter or proceeding arising under section one hundred and nine, or section fifty-nine of chapter one hundred and fifty-nine, or by their unreasonable refusal or neglect to announce a decision in any such matter or proceeding for sixty days after the first day fixed for a hearing thereon, may appeal to the department by filing a notice of appeal with the county commissioners within ten days after the decision or order appealed from, or in case of a refusal or neglect to announce a decision, within ten days after the expiration of sixty days from the first day fixed for a hearing thereon. The proceedings before the county commissioners in which the appeal is taken shall thereupon be stayed.
Mass. Gen. Laws ch. 160, § 111