32A-255 (16) r_Q U0 uc; j�p uuiitora transportation 978-663-6959 p. 2
Mar ag 2006 12:07PM HP-Q S j p•2
N
ENDOWSENILN't UVAYFROVAL NUVREQUIRED(ANN)PLAN
' i
File isith the'019 p
fict 0/ "leffifing and Development
City of Northampton,MassdehiLvells
1. Dccd recorded in Hampshire County Rcj�istr of Deeds or bind C outt: book 48R 32
77:
2. Sty=t A
3. ASS al pruperty descripLian: pwu.on of R&
4. Nurnhar ' newly'created lots:
Ovxk flic supplied items. Applications MUST bave these items,
A Original.reproducible(mylzr)Flan,witb endorsed Seal of a Massachusetts,RzZj%tcred
Professional LvASitrveyor.
N Six(6)prints of tho Plan.
is Original a*&,Six.(6)topics of the fully completed and eudorsed ANR Application form.
$150 per sheet fee plus$50 fur tech newly created lot(payable to"City of Northampton"),
-1 If any portion of a.planfaUx.within 500 feet of publigheAcantrol mint(see
NortbamproriPlanning.org)-four cOntitnictcr-accuracy points!on each sheet tied into the
M, assachuselts State Plaw Coordinate System(N AD 1983 datum),using said published control
points or the 910bill positioning System and noting the coordirkabea of thc tic-in Point;,the datum,
and the snurcc and location-of monuments used for diit&.:
3 An electronic version of the plan in model space in DWG,DXF.or Shape formal including
All property.tint,.buildings and geogriaphic fcoftrol Shown on the plus.
i Closure of all property boundaries o('one pan in 20,000
X PIZD$ShOW all buildings owwd,by subject landawnw(a):viWinin.100'of any newly Created
property lincti.
aY rl&u3'"u1udc a ytatcnusA Wan rho Pl4u"19 9uwU'3 rukl=Q11-1 is QVI is dc1criluoutim tit at die
lots shown are buildable loo.
We believe and underctand-that:.,
(1) The attached plan i&nw sAivision 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&H.Ybe infommkien required in.the Mocklist jjbovv, and
The plans submitted are now in the public domain and my copied fvetly in my form.
Applicant(print orrylie)- 1(_C._.
Phone:
............
Address: %
Owixr(print or type):!.
Address: �j I - Phcmc:j(4"_
..........
Sury ey or(print or type):
._.kk;s4jF;De�ign_Qpq
Ad&css: Phone;
A1100 21dqj-s fir proccjsin&- ltiiih,--appU=r'.Tresponsibility topickip the original drawing and
record ii at the ReCurry of Deeds or Land Court within the time hriats established by the Resorry. AR
copi&v and forms romowips wah fk*City;. Applicants moil film one copy of this AAR form wilt the C16i Clepir
to protect their appeal rights.
fte Suba 6* d "Ilr- Dait Derision Red 7,
City CICTJ X, cure):._. City Clerk(silgn ep
(AMR Appt n0m.rem k lost vrmilrd irmi2ow;
Cit of Northam a 1[n Surve File: 2006-007
Notes:
CAD:❑ PLD:❑ Cards:❑ Scan:[-I