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THE COMMONWEALTH OF /MASSACHUSETTS <br /> of ...._f/`%/. . fes....._...........................- ••-.. <br /> FORM B <br /> APPLICATION FOR APPROVAL OF PRELIMINARY PLAN <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 III-A. <br /> i <br /> No......................... .._... � ..19...�-'...g <br /> To the Planning Board: <br /> f' <br /> The undersigned herewith submits the accompanying Preliminary Plan of property located in the <br /> ­ I. J�O0j 0 .. % `Jf1rlfr .... for approval as a subdivision as allowed under the Subdivision h <br /> City or Town <br /> Control Law and the Rules and Regulations Governing the Subdivision of Land of the Planning Board in <br /> the City (or Town) of...... `rte, ��..... <br /> i <br /> 1. Name of Subdividerv4J...._..EC-Z/.... <br /> Addressf? /' <br /> r.'..o.'.._.._ tea?C......--�1 a•r ...1.1.�/r .�r�� ��%C..��!,. �.... ... ..f............. <br /> CG L <br /> 2. Name of Engincer or Surveyor -------------- ----- ..' <br /> �. �� <br /> Address ---•--•-•--••----..__... _..� � ..�.-.�11`�! h�1 � ....... ..... , <br /> 3. Deed of property recorded in _C�}ls �� G• -----••---••-------•---••--•-•-•-•-•----•--•-•••• Registry. <br /> Book 15�� � r <br /> 4, Location and Description of Property: <br /> i <br /> Signature of o <br /> Low & Weller, Inc. <br /> ............ <br /> Address P.O. Box 119 <br /> -----•.................. ----f1-•----- ; <br /> 'S'armcut�i I'c�rt, 1VIA. 267- .�, <br /> 4 118 of the names and addresses of the abutters of this subdivision is attached. Verification will be made by <br /> the Planning Board. <br /> FOpM 1881 H08891y WARREN, INC., <br /> i.3-65 <br />