35-009 1i FORM A
:NORTHAMPTON, MA
'�. P ��` 1 4 2001
A PL;CATION FOR ENDORSEMENT
DEPT of BulLMNC INSpEOENFLAN BELIEVED NOT TO REQUIRE APPROVAL
NQRi-�A Ifn0N,MA 01000
even completed and signed forms and plans and one mylar with the City Clerk and the Planning Board in
accordance with the requirements of Section 3.02.
1(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 licrewith submits said plan for a determination and endorsement that
Planning Board approval under the Subdivision Control Law is not required. 1
1. Applicant(print or type): V� `'� ; �Ui3 t3h+ D Signature:_
Address:2-j�2�,��✓.%� _J �I.C?-L_1j 1'houc:._ s `t'•q7.` OP"
2. Owner(print or type): S A M E Signature:
Address:_ 1'honc:
siz- PLC
3. Surveyor(print or type): 1`l i C H A F,��, �j��A l�:C Signature:-
Address: Ki C> S'! N T0tj Phone:
+. Deed or property recorded in Hampshire County Registry of Decds or Land Court:
`14 4 S
Book2-ot-..3 Page z 3 l
S. Street Name, and Property Location and Description:
Street Name: tj\j L,S' F AtZM S Q-D _
Description:
6.
A
7. Number of newly created lc#ts.
Date Submitted f ' ruling Date Planning B a
Board Approvalm aA e goof Decision Filed
City Cler j! ° City Clerk(sigi
(/uly 2000)
SUBDIVISION REGULATIONS-------