23D-163 (13) lillfr _ _ -
1, JUL 1 51993 I iJ FORM A
';L --J
NORTHAMPTON, MA
DEPT OF Pp,ILDl1lG "—"nNS
APPUCATION FOR ENDORSEMENT
OF PLAN BEUEVED 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. 'A.", \
1. Applicant Louis S. & Rachel F. Moore Li k,I(; ^c
Print or type name Signature
135 Maplewood Terrace, Northampton, MA 586-7458
Address n Phone „.,,,,,,, , 2./.(_. '
Jessie E. Millward and ,
2. Owner Mary M. & Konstanty Ankuddw'ch :cL. /'a , i £ fit`' - y l � �n l
Print or type name Signature .
127 Maplewood Terrace, Northampton, MA 584-0295
Address Phone
Bruce A. Coombs, President ,
3. Surveyor CI " L41L--
Print or type name Signature
Heritage Surveys Inc.
P.O. Box .1. - College Highway Southampton, MA 527-3600
Address Phone
4. Deed or property recorded in Hampshire County Registry,
•
Book 3472 Page 180 .
S. Location and Description of Proper' :
Parcel A - 9,779sf of land off Maplewood Terrace as shown on a plan
dated July 7, 1993.
6. Assessor's Map ID: 23D Lot(s) : Portion of Lot 163
Date Submitted for Planning Date Planning Boa d • C
Board Approval: Decision File :`
City Clerk: Ci Clerk:
(Signature) (Si a ur )
(8/13/91)
SUBDIVISION REGULATIONS PAGE 60