25A-046 (27) Y
MASSACHUSETTS
^OORD. SYSTEM
N: 488,767.260
E: 295,316.320
RESERVED FOR REGISTERS USE ONLY
I REPORT THAT THIS PLAN SHOWS THE PROPERTY LINES OF
EXISTING OWNERSHIPS, AND THE LINES OF STREETS AND WAYS
SHOWN ARE THOSE OF PUBLIC OR PRIVATE WAYS ALREADY
ESTABLISHED AND THAT NO NEW LINES FOR THE DIVISION
OF EXISTING OWNERSHIPS OR NEW WAYS ARE SHOWN;
\ I REPORT THAT THIS PLAN CONFORMS TO THE TECHNICAL AND
\ PROCEDURAL STANDARDS FOR THE PRACTICE OF LAND SURVEYING
\ IN THE COMMONWEALTH OF MASSACHUSETTS;
\ I REPORT THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY
WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS
\ OF E COMMONWEALTH OF MASSACHUSETTS.
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\ SIGNED: PAUL y ATE
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\ \ No. !fie
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FORM A
CEP[Of 81iflD'tjG INSPECTIONS -NORTHAMPTON, MA
5 CZ
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
File five completed forms and plans and one mylar With the city clerk and the
Planning Board in accordance with .the requirements of Section 3.02.
To the Planning Board:
The undersigned, believing that the accompanying plan of his/her property
in the City of Northampton does not constitute division within the meaning of .the
Subdivision Control Law, herewith submits said plan for a determination and
endorsement that Planning Board approval under the Subdivision Control Law is .not
required.
1. Applicant .�/lam
Print or type name Signature
� Z4 J`l : ��Ld 4N_ 3C>
Address
� hi o(/
0,;-A » ��� � V/T� _JiZ
2. Owner P,'?�ti vG' CSG�S ✓1 �o �/; � i/c c /
2
C 4
Pent or type name Signature
Address ho e
3. Surveyor kVfl "
AA
Print or t4 name Signature
!1q-1Y
Address Pho
4. Deed or property recorded in u9/7' Registry,
3�( z
29C
Book � Page
jive, Zoe
S. Locat on and Description of Property:
6. Assessor's Hap ID:��"!J. Lot(s) : �`'Ti 7
Date Subm.tt d fo Plannin Date Pla oa /�
Board Ap�a'rovat Decisi Fil 9r�
City Cles: ` City C erk•
--- (Signat ) (Si.gnatur
(8/13/91)
SUBDIVISION REGULATIONS-------PAGE 60