05-056 Approval Not Required Plan-2-18-1981FORK A
NORTHAMPTON, MASS.
Feb. 18, 1981
Late
AFPLICATION FOR ENDORSEMENT
OF PLAIT BELIEVED IIOT TO REQUIRE AFFROVAL
File one completed form with the Planning Board
and one copy with the City Clerk in accordance with
`+'nth requirements of Section 3.02.
To the Planning Board:
Tr,e undersigned, believing that the accompanying p2an of
his property in the City of Northampton does not constitute
division within the meaning of the Sutdivision Control Lax,
herewith suCcdts said plan for a determination and endorsement
that Planning Eoard approval under the Subdivision Control Law
is not reou_ired. /J 1 M
1. Applicant (,erald A. Jackson [
Print or type name
P.O. Box H North Amherst MA 0 1059
a wry i .in in Address
2 0lmersJOSenh C. . Dickinson and
Nancy Dickinson Frint or type name
Audubon Road Northampton, t7A 01060
Address i
3. Surveyor m
Print or type name Signature
125 Pleasant St No thamnton MA 01060
Address
4. Deed or property recorded in
1259 P
Book 1471
Hampshire C o u nty Registry,
160
5. Location and Description of Property:
9 Parcels on Northeast side of Audubon road
Date of Subm on
City Clerk ' ✓�l•J�
Signatu e
fa'� 33
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