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THE Cq't'OWEALTH OF MASSACHMETIS <br /> TOWN of <br /> RECEIVED1 <br /> FORM A _ DEC ab 1994 <br /> APPLICATION FOR ENDORSEMENT TOWN CLERK <br /> OF PLAN BELIEVED NOT TO REQUIRE APPROVAL MASHPEE <br /> File one completed form with the Planning Board and one COPY with the <br /> City {or Town) Clerk in accordance with the requirements of Section II-B. <br /> i <br /> DEC. 7 19 .4 . <br /> NO.. 4 . . . <br /> To the Planning Board: <br /> The undersigned, believing that the accompanying plan of his property in <br /> the .'USRREj. • • • • • • • • • • . • .does not constitute a subdivision within the <br /> City or Town <br /> meaning of the Subdivision Control Law, herewith submits said plan for a <br /> determination and endorsement that Planning Board approval under the <br /> Subdivision Control Lain is not required. <br /> 1. Name of Appl icant. . . . . .XILT'PM�' <br /> A. ;LF, 1,PP.11 .g9FIP.0•R4�'?.0X . . . . . . . . . <br /> W;,I�I,rQfrT13�N�1 P� �HPEE,,. .MA. . . . . . . . . . . . . . <br /> � •.i . tY� <br /> Address ' <br /> . . . . . . . . . . . . . .IQO <br /> i <br /> . . . . . . . . . . . . <br /> 2 Name of Engineer or Surveyor . . •pE�'�a' ` <br /> Address. . . . . . . . . . . . . . . . . . . . <br /> . . �. B>ii;LOWS YH <br /> .RD;.,• •RAAM . . . . . . . . . . . <br /> ; .MA <br /> EARNSTABLE .COiJNTY . . . . . , . . . . .Registry. <br /> 3. Deed of property recorded in • • • • • • • <br /> Boox . . . . . .775A . . . . . . <br /> 4. Location and Description of Property: , <br /> Signature of o+,vnerv.. . . G.�;;:. <br /> Stg Paul Fireman, Treasurer <br /> Address. . . li)A •WziaL <br /> OWB9XD.DR..• • • . • • • . . . . . . . . • <br /> Mp,SHpEE, 02649 <br />