37-019 I -�--, 3 '7 -- orq
r, 7 67
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FORM E
': j1►A1 NORTHAMPTON, MA
I \ i__ ,
Date
DEPARTMENTAL REVIEW OF SUBDIVISION PLAN
ITo: Board of Health Building Inspector— mAp 3-3
Board of Public Works Conservation Commission
pftreeLS i9, ES; 66 f 6
IFire Department Police Department
From: Planning Board `` '' Co'— us 1 r
ISubject: Roc-: c I-1iI ) 1,-
(description of plan, date, etc.)
1 1. The subject named plan herewith attached has been submitted to the Planning Board for
approval as a subdivision.
IFor the guidance of the Planning Board will you please note any appropriate comment or
approval on the blank below and/or on the plan itself and return to the Planning Board as soon
aS nocc;hlQ._.. e =ter
r2. Under the requirements of Section 81-U of Chapter 41 of the General Laws the Board of Health
must notify the Planning Board within forty-five (45) days (all others thirty (30) days) of the date
I of this notice if the Board of Health is in doubt as to whether any of the land in the subdivision
can be used as building sites without injury to the public health.
(do not detach)
To: Planning Board
Date:
ISubject:
(description of plan, date, etc)
1. The undersigned APPROVES/ DISAPPROVES (cross out one)
of the subject named subdivision plan insofar as its requirements are affected.
I2. The following comments are offered for the guidance of the Planning Board:
3. Performance Guarantee requirement: $
IDepartment
I Signed (4/11/91)
SUBDIVISION REGULATIONS PAGE 67
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