25A-135 (2) � 1
1
PROCEDURE FOR ACCEPTING r'6RX 9
APPLICATION FOR ENDORSEMENT OF PLANS BELIEVED NOT
TO REQUIRE APPROVAL UNDER THE SUBDIVISION CONTROL LAW
All of the following must be included in order to be considered a
gull application for endorsement: _
A. The original, reproducible (mylar) drawing of the Plan, with
the endorsed Seal of a Professional Land Surveyor, registered
with the Commonwealth of Massachusetts,
B. Five (5) prints of the Plan,
C. Five (5) copies of the fully completed and endorsed
application "Form A",
D. Filing Fee made payable to the City of 'Northampton:
✓/$50 .00 per sheet PLUS
,//$50. 00 per lot if there are not four points tied to the Mass.
/ State Plane system (1927 datum) PLUS
$25.00 per sheet when no electronic version is provided
00 NO APPLICATIONS SHALL BE ACCEPTED UNLESS
CE 5.
ALL OF THE ABOVE ARE INCLUDED
Application should be delivered to the City Clerk for date stamping
and then delivered to the Office of Planning and Development.
All accepted Applications will be acted upon within twenty-one (21)
days of their acceptance.
Once an Application has been acted upon, the Applicant receives
back only the original, reproducible (mylar) drawing. The five (5)
prints and the five (5) "Form A's" shall remain in the Office of
Planning and Development for distribution and the Filing Fee shall
be deposited with the City (regardless of whether the Plan has been
approved or' disapproved) .
SUBDIVISION REGULATIONS-------PAGE 61
FORM A
2 4 NORTHAMPTON, MA
APP;,UCATION FOR ENDORSEMENT
0r PLAN BELIEVED NOT TO REQUIRE APPROVAL
File five completed forms and plans and one mylar with the City Cleric and the
Plarlyzing 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 Nort hampton does not coast.ttute 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 ✓AWP-A A',
Print or type name Signature
Address Phone
2. owne A T�i`u)� �q eyouoe �-
Print or type name Signature
17 C�F,vwo0D AW, l -b,12 1 504-402-
Address Pho e
, LMeZ Wo ,.jTLe/,J"(Z
3. Surveyor f4 A A TES f 'M C.
Print or type name Signature
3n JPDuS7Rr&L 1 RIVE EASf0 h02-t14.AMP-r0M 4 -
Address Phone
4. Deed or property recorded in 4A r3 -S R IKE (OUuTY Registry,
Book 1(0 S5 Page Z5 3
S. Location and Description of Property: 4,(._34- c hQ-e FM_-T±
iPA2c EL LocAZ 0 w Est d;:� Vu n V E 57" eeT A99 WwEEm
6k,E,A.k)0op )1,N)e�JUIG7- AKIN sk-R-mraN AvEMUC ,
6. Assessor's Map ID: ZJA Lot(s) : 180 _
135
Date Submitted for Planning Date Planning Bo �6
Board Approval: D is ion File (p
City Clerk: iC'ty Clerk:
(Signature) (Si azure
(8/13/91)
SUBDIVISION REG=TIONS-------PAGE 60