14-013 Application for Endorsement chesterfield & montague rd.Hu
FORM A
NORTHAMPTON, MA
APPLYCATION FOR ENDORSEMENT
OF PLAN BEUEVED NOT TO REQUIRE APPROVAL
t
File five completed forms and plans and one mylar'with the City Clerk and the
Planning Board in accordance with the requirements of Section 342:,'
To the Planning Board:
The undersigned, believing that the accompanying plan of his /her property
in the City of Northampton does not constitute division within the meaning of the
Subdivision Control Law, herewith submits said plan for a determination and
endorsement that Planning Board approval under the Subdivision Control Law is not
required.
1.
2.
7
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3.
4.
5.
6.
Applicant
77� � tql ,
Pr t or type name Signature
1,0 f e� Ofd l ld v y
G p 57, 7 rST
� Phone
Address .
owner
Print or type name Signature
Address
A UMEP- HUUTL�Y ,7F..
Surveyor A 655oG18 TES , tG
Print or type
Phone
Signature
30 AS,
pggj klAt D U VF FAST X1 I TOAJ 584 - 7 y y q
Address Phone
Deed or property recorded in - uA11�PSId►R��fiy Registry,
Book Zs(. S Page 132
Location and Description of Property: MouTIA64VE TDAT>
LAXJ 5ITvA TE710EEIJ G V--k.F1 C LD
Assessor's Map ID: Lot(s): 13
Date Submitte fo Plann'n Date Planning; rd
Board Appro '� Decisio F'1
/ C
Clerk ° city igna )
(Signature
(8/13/91)
SUBDIVISION REGULATIONS - - - - -- - PAGE 60