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36_-261_letterAA 163 Maple Ridge Rd- application for endorsement`...- now FORM A NORTHAMPTON, MA SeRtember 18, 1990 Date APPLICATION FOR -ENDORSEMENT OF PLAN BELIEVED NOT TO REQUIRE APPROVAL File one completed form with the Planning Board and one copy with the City Clerk 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. 2. 3. Applicant Roger Allcroft Print or type name Signal"' igna u / 69 Adams Road, Haydenville, MA O1039 (413) 268-3355 Address P one A/z/z/vOwner Roger Allcroft Print or type name Signa 69 Adams.Road, Haydenville, MA 0103?1 (4 13 ) 268-3355 Address Phone Hill -Engineers Architects, Surveyor Planners, Inc. I fi- �/' Print or type name S" P.O. Box 293, 50 Depot St., Dalton, MA 01226 (413) 788-7771 Address Phone 4. Deed or property recorded in Hampshire Registry, Book 3388 Page 49 and Book 3178 Page 350 5. Location and Description of Property: Lots 17 & 18 Maple Ridge -Road Date of Subm'ssio City Clerk Sig e JUL 2 US 1999 FORM A NORTHAMPTON, MA L✓,r0'Z Or PLAN '.i4 6 1) sVEL0? '_;N Date APPLICATION FOR ENDORSEMENT OF PLAN BELIEVED NOT TO REQUIRE APPROVAL File four completed forms with the Planning Board and one copy with the City Clerk in accordance with the requirements of Section 3.02. To the Planning Board: The undersigned, believing that the accompanying plan of his/her prop- erty 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 Sub- division Control Law is not required. 1. Applicant ✓ t o ,^ ��(( ,�p'� �c //��, — . Print cY type name Signatur Address LPhone 2. Owner - 411( p'� Print o type name Sign, :uie a S abo t/P Address Phone 3. Surveyor Z170i/Ieer5 / 4)1161r-vne1r- �i✓ �C. .0 Print or type name Signature o. x y8S o!��ok� l�6 �inyl� oy's— s -33-7D'71, Address Phone 1an of - 4. f4. Dee4=#o Property recorded inQI�IoS� �Z �`rna i� f U� Registry, Book N7 Page j 5. Location and Description of Property: �,�, f (�' /,J/,Y /� �� Q '.�cc� - SPe %C om n y Date Submitted for Approval Date Planning Board Dec' 'on Filed . July 28 1989 City Clerk Signature City Clerk Si n ture