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34-005 (5) ttn ' ii Iv` FORM A • -': r___ _----- �� , NORTHAMPTON, MA APR — L, rAPL ! ATION FOR ENDORSEMENT OF PLAN $EL VED NOT TO REQUIRE APPROVAL A j File geven completed forms i#&6he mylar th the City Clerk and the Planning Board in accordance with the requirements of Section 3.02. I(we)believe that the attached plan of properly in the City of Northampton does not constitute a subdivision within the meaning of the Subdivision Control Law,and herewith submits said plan for a determination and endorsement the Planning Board approval under the Subdivision Control Law is not required. 1. Applicant: Richard A.Bond Signature: Address: 296 Turkey Hill RD.Northampton Phone: 2. Owner: Richard A.Bond SignatureY� '�' Address: 296 Turkey Hill Rd.Northampton Phone: 67-& -�"j—j- 3. Surveyor: E.B. Holmberg&Associates Signature Print or type name Address: 87 Union Street Easthampton,MA 01027-0945 Phone: 529-1700 4. Deed of Property recorded in Hampshire County Registry of Deeds or Land Court: Book 1795 Page 267 Book 3537 Page 31 5. Street Name,and Property Location and Description: Street Name:Turkey Hill Road Description: 2 lots created on the southwest side of Turkey Hill Road Lot A: 80,000 s.f. Lot B. 131,055 s.f. 6 is Map ID: 34 Lot(s): 5&6 7 Number of newly created lots: 1 Date Submitted for Planning Date Planning Boa Board Approval: Decision Filed: oj0,, � o • City Clerk(signature): City (5/10/2001)