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SURVEY-Korza ANR to Hatfield
TOWNȱOFȱHATFIELDȱPLANNINGȱBOARDȱȱ FORMȱAȱ–ȱApplicationȱforȱEndorsementȱofȱPlanȱBelievedȱNotȱtoȱRequireȱApprovalȱ ȱ DATEȱMay 16,ȱ2017ȱ ȱ NOTE:ȱ Fileȱ twoȱ (2)ȱ completedȱ Formȱ Aȱ (withȱ applicationȱ fee,ȱ seeȱ Sectionȱ 8.0ȱ ofȱ Hatfieldȱ Subdivisionȱ Rulesȱ andȱ Regulations),ȱ plusȱtheȱoriginalȱMylarȱplanȱandȱeightȱ(8)ȱcopiesȱofȱtheȱplanȱwithȱeitherȱtheȱTownȱClerkȱorȱtheȱPlanningȱBoard.ȱȱ ȱ ToȱtheȱPlanningȱBoard:ȱȱ Theȱ undersigned,ȱ believingȱ thatȱ theȱ accompanyingȱ planȱ ofȱ his/herȱ propertyȱ inȱ theȱ Townȱ ofȱ Hatfieldȱ doesȱ notȱ constituteȱ aȱ subdivisionȱ withinȱ theȱ meaningȱ ofȱ theȱ Subdivisionȱ Controlȱ Law,ȱ herewithȱ submitsȱ saidȱ planȱ forȱ aȱ determinationȱ andȱ endorsementȱ thatȱ theȱ Planningȱ Boardȱ approvalȱ underȱ theȱ Subdivisionȱ Controlȱ Lawȱ isȱ notȱ required.ȱIfȱtheȱapplicantȱorȱownerȱisȱaȱcorporation,ȱtrust,ȱorȱotherȱsuchȱentity,ȱproofȱofȱsignatoryȱauthorityȱmustȱbeȱ provided.ȱ ȱ 1.ȱApplicationȱInformationȱȱ ȱ AddressȱofȱPropertyȱLocation:ȱLinseed Road, Hatfield and into Northampton Applicant:ȱCity of Northampton Office of Planning and Sustainability and Kestrel Land Trustȱ Address:ȱ210 Main Street, Northampton, MA 01060ȱ ZipȱCode:ȱ01060ȱȱȱTelephone:ȱ413-587-1265ȱȱȱEmail:ȱWFeiden@NorthamptonMA.govȱ StatusȱofȱApplicant:ȱOwner_______ȱȱȱȱLesseeȱ_______ȱȱContractȱPurchaser XXXȱȱȱOtherȱ______________________ȱ ȱ Ownerȱ(ifȱdifferentȱfromȱapplicant):ȱBeverly A. Labbee and Diane M. and Richard R. Korzaȱ Address:ȱ11 Primrose Path, Hatfield, MA 01038ȱ ZipȱCode:ȱ01038ȱȱȱTelephone:ȱ413-237-7520ȱȱȱEmail:ȱjk@trimco-wgins.com and labbee@polsci.umass.edu ȱ Owner’sȱAgent:ȱ_______________________________________________________________________________________ȱ Address:ȱ_____________________________________________________________________________________________ȱ ZipȱCode:ȱ_________________ȱȱȱTelephone:ȱ_________________________ȱȱȱEmail:ȱ_______________________________ȱ Signature:ȱ____________________________________________________________________________________________ȱ ȱȱ EngineerȱorȱSurveyor:ȱDavid Enberg, Berkshire Designȱ ȱ Address:ȱ4 Allen Place, Northampton, MA 01060ȱ ZipȱCode:ȱ01060ȱȱȱTelephone:ȱ413-582-7000ȱȱȱEmail:ȱDavidE@BerkshireDesign.comȱ ȱ 2.ȱPropertyȱInformationȱȱ Address:ȱ0 Linseed Road, Hatfieldȱ AssessorȱIdentification:ȱMapȱ#,ȱ219 Parcelȱ#3.1 & 3.2ȱȱȱȱ RecordedȱinȱtheȱHampshireȱRegistryȱofȱDeeds:ȱ ȱBookȱ10344ȱȱȱPageȱ226ȱ ȱ 3.ȱEvidenceȱofȱQualificationȱandȱDivisionȱofȱLand:ȱ ȱ (a)ȱ Numberȱofȱexistingȱlots:ȱTwo lots: 219-3.1 and 219-3.2ȱ ȱ (b)ȱȱ ȱ (c)ȱȱ ȱ (d)ȱȱ ȱ (e)ȱ ȱ (f)ȱȱ ȱ (g)ȱ ȱ (h)ȱ Areaȱofȱexistingȱlotȱorȱlots:ȱIn Hatfield: 4.18 for two lotsȱ Frontageȱofȱexistingȱlotȱorȱlotsȱ363.19ȱ Numberȱofȱproposedȱlots: Two lots (different configuration from current lots)ȱ Minimumȱareaȱofȱproposedȱlotȱorȱlotsȱ0.59 acre lot for open space--not a building lot & 3.59 acre lot Minimumȱfrontageȱofȱproposedȱlotsȱ96.25' for open space and 266.94' for remaining lotȱ Minimumȱwidthȱofȱproposedȱlotsȱ96.25' for open space and 266.94' for remaining lotȱ Requiredȱfrontageȱlocatedȱonȱ(nameȱofȱstreet)ȱLinseed Roadȱ ________________________________________ȱ SignatureȱofȱApplicantȱ(ifȱotherȱthanȱowner)ȱ From option, authorizes city to proceed: ȱ ___________________________________________________ȱ SignatureȱofȱOwnerȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ FORȱPLANNINGȱBOARDȱUSEȱONLY ȱ 1.ȱ Dateȱȱ ȱ ȱ ȱ ȱ ȱ ȱȱTimeȱȱ ȱ ȱ ȱ ȱ ȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱ Applicationȱreceivedȱ______________________________________ȱ ȱ Eightȱ(8)ȱcopiesȱofȱplanȱreceivedȱ____________________________ȱ ȱ ȱ (Distribution:ȱplanningȱboardȱ(5),ȱtownȱclerkȱ(1),ȱbuildingȱinspectorȱ(1),ȱDPWȱ(1))ȱȱȱ ȱ Mylarȱreceivedȱ___________________________ȱ ȱ Diskȱ_________________________________ȱ ȱȱȱȱȱȱȱȱȱȱȱȱȱ 2.ȱ FilingȱFeeȱ$50.00ȱȬȱcheckȱorȱcashȱ(circleȱone),ȱamountȱȱ ȱ ȱ ȱ ȱȱȱȱȱȱȱȱȱ ȱȱȱȱȱȱȱȱȱȱȱȱȱ 3.ȱȱ Streetȱinformationȱisȱcorrectȱorȱincorrectȱ(circleȱone)ȱ ȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱ Remarksȱȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱȱȱȱȱ 4.ȱȱ EndorsedȱorȱRejectedȱ(circleȱone)ȱȱȱ ȱ ȱ ȱ ȱ (Date)ȱ ȱȱȱȱȱȱȱȱȱȱȱȱȱ Remarksȱȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ _______________ȱ ȱ ȱ ȱ ȱ 5.ȱȱ TownȱClerkȱnotifiedȱinȱwritingȱȱ ȱ ȱ ȱ ȱ (Date)ȱ ȱ 6.ȱȱ Reproducibleȱreturnedȱtoȱapplicantȱȱȱ ȱ ȱ ȱ (Date)ȱ ȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱ ȱ