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1 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> ..... of ............... <br /> FORM B <br /> APPLICATION FOR APPROVAL OF PRELIMINARY PLAN <br /> i <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 IIIA. <br /> No.................••...... 1......M�........-••-•- -•.....19... <br /> To the Planning Board: <br /> The undersigned herewith submits the accompanying Preliminary Plan of property located in the <br /> ..... ............................... for approval as a subdivision as allowed under the Subdivision <br /> City or Town H <br /> Control Law and the Rules and Regulations Governing the Subdivision of Land of the Planning Board in <br /> the City (or Town) of------ <br /> _ Il <br /> 1, Name of Subdivider ......... <br /> --•- �f..fL/C..--••--. .... <br /> Address K�......_._. v-�-�------G - -... _ .. ........ <br /> ozf-37 <br /> 2. Name of Engineer or Smvc3'or ---- ----- Gs� �/� <br /> -..._ <br /> ------- <br /> Address -106 <br /> ---------- -------- <br /> ----- <br /> ddress ....- _-- -•- ------------------- ---------------( <br /> 3. Deed of property recorded in ............. � ------•-------•------------------------•------------••----------- Registry, <br /> Book <br /> ................................................ Page --•---......---•----...-----------•------------• <br /> t <br /> 4. Location and Description of Property: <br /> J9 <br /> P . <br /> VA OF <br /> i <br /> "NSC <br /> MAY 91888 N <br /> muciax <br /> Signature of oivnrr---------- -----------------•--•----•- --- ... <br /> S`0 r <br /> Address .......... --------- <br /> A list of the names and addresses of the abutters of this subdivision is attached. Verification will be made by <br /> the Planning Board. <br /> E <br /> MGRM ISt>� <br /> H0488 9k WAR404. Mi4_ 1-5-66 i <br />