32C-283 (5) � - z F,.
FEB 7R;
FORM A 5
' NQ ZfiHAMPfit� M
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
filesix completed forms and plans and one Q
_ p p _mylar with the City Clerk and the Planning Board in accordance with the
requirements of Section 3.02.
I(we) believe that the attached plan of property in the City of Northampton does not constitute division within the
meaning of the Subdivision Control Law, and herewith submits said plan for a determination and endorsement that
Planning Board approval under the Subdivision Control Law is not required.
lJ r
1. Applicant(print or type): I Q('(1 Lzwi5 Signature: U
Address:7)1 Ito Y ck� rF t 9. Phone: S�Z o �-
2. Owner(print or type). c e Signature: t �LCd
Address: r6 Phone:
AWQZ 1AUNIL6%?,JR .
3. Surveyor(print or type): 4 N-6cr—txTCS, itic.. Signatur uQ
N0r—TNAMPM9, MA --1444
Address Phone
Deed or property recorded in Hampshire County Registry of Deeds or Land Court:
Book 22105 Page l35 "o W- `l 7G Pags �Yi.S
5. Location and Description of Property:
{-r?,�o�� -PaAZJ,0 &11 -tjA- K
?ApjeL- A, - 9,7 5 2 "5,F.-_ QaR.c a- 8 : 33,Zoe
3.244 AG?-�
6. Assessor's Map ID:3ZCLot(s): 253
Date Submitted for Planning Date Planning
Board Approval: Decision t 62 C j
•
City Clerk(signature): City Clerk gna re):
(11!/98)
SUBDIVISION REGULATIONS-------PAGE 60