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i <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> ..... of ...... <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 /> No......................... <br /> -------19---------- <br /> To the Planning Board: <br /> l <br /> The undersigned herewith submits the accompanying Preliminary Plan of property located in the <br /> Al -------------•--- for approval <br /> City or Town as a subdivision as allowed under the Subdivision <br /> Control Law and the Rules and Regulations Governing the Subdivision of Land of the Planning Board in �} <br /> the City (or Town) of........ .--!... ,fY�� <br /> 1. Name of Subdivider .....- ffL................................ <br /> . ----- ------S/ec b /I ,, -�L_ <br /> Address ' �-- ... . /��Me <br /> ------------ ----- --------- <br /> o <br /> J—.3 <br /> 2. Name of Engineer or Surveyor ---r ---- -- Lf ----••- ------•-- <br /> ----------- <br /> Address �3 �---- ---------- ---`--t� ------------'( <br /> 3. Deed of property recorded in .•-----...... .u ry l :�i.�. � ............ <br /> Registry, <br /> Book................................................ Page ----------------------- ................... ; <br /> I <br /> 4. Location and Description of Property: <br /> Y z <br /> � f <br /> I <br /> P� Cz <br /> Signature of owaei- ........... <br /> ----•...................................................... <br /> 8 1. Address <br /> I ; <br /> A1iet of the names and addresses of the abutters of this subdivision is attached. Verification will be made by <br /> the Planning Board. <br /> FORM 1681 M06138&WARREN. INC.. 1-8-65 <br />