Laserfiche WebLink
_ THE C"ONWEALTH OF MASSACHUSETTS <br /> of <br /> FORMA U L 1 8 1988 . -4 <br /> APPLICATION FOR ENDORSEMENT Tomma <br /> OF PLAN BELIEVED NOT TO REQUIRE APPROVAL <br /> File one completed fom with the Planning Board and one copy with6 <br /> the <br /> City (or Town) Clerk in accordance with the requirements of Section II-B• UI <br /> 1. . . . . L'`e ilk. . . . �. . . . . . . .19�� <br /> . . . . . <br /> To the Planning Board: <br /> The undersigned, believing that the accompanying plan of his property in <br /> the . . .1 .::': ` 4r- <br /> . . . . . . . . . . .does not constitute <br /> 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 /> E i <br /> Subdivision Control law is not required. <br /> � �, <br /> 1. Name of Appl icant . . . . . .:��'�• . . . . :�::. ha. ���('���' <br /> Address. �L.� �k�. . . . S : . . .9�: . . . . .l: • .::". �� X55. • �1� <br /> . . . . . . „ <br /> 2• Name of Engineer or Surveyor. •�`;��, ,; . . ;�5 •:;"�`Ne CO t <br /> Address. : ..��.�`. . !�. . .>� �.2.. 5. V3 .o 7� <br /> i <br /> 3• Deed of property recorded in. . . . . . ;��ti�5.' <br /> . . . . . . . . . . . . . . . . . . . . . <br /> 3- <br /> t <br /> Book. . . . ..���. . . . . . . . . . . . .Page. . . . . . . . . . . . . . . . . . . . . . . . <br /> 4• location and Description of Property: <br /> 1'� <br /> Signature of oiuner. . . • . , , , , , • „ �w, <br /> . i <br /> Address. . . . . . • .: .�1: . . . . . . . . . . . . . . . <br />