25A-185 (109) PROCEDURE FOR ACCEPTING FORM A'S
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
full 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. $35 Filing Fee (per sheet) , made payable to the City of
Northampton.
NO APPLICATIONS SHALL BE ACCEPTED UNLESS
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) .
FORM A
NORTHAMPTON, MA
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 undi� Subdivision Control Law is not
required.
,
1. Applicant The Coca-Cola Company
Print or type name Signatur
i
1 Coca-Cola Plaza, Atlanta.GA 30313 (4n4) 676-4718
Address Phone
2. Owner The Coca-Cola Company
Print or type name S tgnaftr
1 Coca-Cola Plaza Atlanta GA 30313 (404) 676-4718
Address Phone
3. Surveyor Almer Huntley. Jr. &Associates, Inc.
Print or type name Signature
30 Industrial Drive East, Northampton, MA 01060 584-7444
Address Phone
4. Deed or property recorded in Hampshire County Registry,
Book 4571 page 177 _
S. Locati
6. Assessor's Ma-- a ,
Date Submitted f Plan in Date Planning
BC �pprova . cis' n Fil
City Clerk: City Clerk• �
(S' natur
(Sig to )
(4/11/91)
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