32C-273 (6) ENDORSEMENT OF APPROVAL NOT REQUIRED (ANR) PLAN ".
File with the Office of Planning and Development
City of Northampton, Massachusetts r
1. Deed recorded in Hampshire County Registry of Deeds or Land Court: Book 6392 page 2,94
2. Street Address: 56 WILLIAMS STREET
3. Assessor's Map: 32C Lot(s): 273 Additional property description:_
4. Number of newly created lots: v
5. Check list of filing requirements(check the supplied items. Applications'N bST have these items.)'
lid Original,reproducible(mylar)Plan,with endorsed Seal of a Massachusetts Registlred`;
Professional Land Surveyor.
M Six (6)prints of the Plan.
IN Original and Six(6) copies of the fully completed and endorsed ANR Application form.`
r. r-1
❑ $150 per sheet fee plus $50 for each newly created lot(payable to"City of Northampton").
❑ If any portion of a plan falls within 500 feet of a published control point(see
NorthamptonPlanriing.org): four centimeter-accuracy points on each sheet tied into the
Massachusetts State Plane Coordinate System(NAD 1983 datum), using said published control
points or the global positioning system and noting the coordinates of the tie-in points, the datum,
and the source and location of monuments used for data.
N An electronic version of the plan in model space in DWG,DXF, or Shape format including:
• All property lines,buildings and geographic features shown on the plans.
• Closure of all property boundaries of one part in 20,000
IN Plans show all buildings owned by subject landowner(s)within 100'of any newly created
property lines.
® Plans include a statement that the Planning Board's endorsement is not a determination that the
lots shown are buildable lots.
We believe and understand that: >
(1) The attached plan is not a division as defined in the Subdivision Control Law and we submit
it for endorsement that Planning Board approval under this Law is not required; and
(2) we have provided all the information required in the checklist above; and
(3) The plans submitted are now in the public domain and may be c ied freely in any Bo
Applicant(print or type WILHELM, SHIMEL & KING Signature:
74 King Street g 4_ __3 �D
Address: r Northampton, MA 01060 -Pho
Owner(print or type): qp� -j—d A,-ilk Mrll f't! Signature:
Address: d �l �-���c C �e tt r J ,
� � � Phone:
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Surveyor(print or type): HAROLD L EATON & ASSOC. Signature:
Address: 235 RUSSELL STREET, HADLEY Phone: 584-7599
Allow 21 days for processing. It is the applicant's responsibility to pick up the original drawing and
record it at the Registry of Deeds or Land Court within the time limits established by the Registry. All
copies and forms remain with the City. Applicants may file one copy of this ANR form with the City Clerk
to protect their appeal rights.
Date Submitted: Date Decision Filed: l" R 1
City Clerk(signature): City Clerk(signature): C�
(ANR Application,Farm A:last revised 112312002)
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