06-060 a - U
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FORM A
NORTHAMPTON, MA
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
File six completed forms and plans and one mylar with the City Clerk and the Planning Board in accordance with the
' requirements of Section 3.02.
I(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 herewith submits said plan for a determination and endorsement that
Planning Board approval under the Subdivision Control Law is not required.
I. Applicant(printer type):14°K to Tt4 11PW Signature: attn4G tC*i-rr
Address: U6 LO(.t(`it ti'(. Phone: 511 ( `51°
2. Owner(print ortype):_ yhtAs{" Signature:
Address: Phone:
3. Surveyor(print or type): iiMOOt'tRTnl signature:
235 kt)EU. 51. , it Ntsv 5g*7s99
Address Phone
4_ Deed or property recorded in Hampshire County Registry of Deeds or Land Court:
Book Page .
5. Location and Description of Property:
PasnAltt I...44. jj( 27, 4m t. 54. ft') m h4. rao&Hlt\ <„lc (k.
RwrrypitttM1Ht hamW
- (ct1 i °t. x4/Ii`{ 4 tem( .}
S. Assessors Map ID: p Lot(s):
Date Submitted for Planning Date Planar Board /}/'r
Board Approval: Decision ,[�� I _r `77
i' y '
W t :,
Wim'.
City Clerk(signature): City Clerk vaturc):
(1/1/98)