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THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN MASHPEE li IZ <br /> -- of ----------------------------------- <br /> FORM A r <br /> low <br /> APPLICATION FOR ENDORSEMENT <br /> OF PLAN BELIEVED NOT TO REQUIRE APPROVAL <br /> or <br /> i �� <br /> File one completed form with the Planning Board and one copy with th� f <br /> City (or Town) Clerk in accordance with the requirements of Section II- <br /> c � <br /> t <br /> No.. . . . . . . . . . . . . . . . . . .OCTOUIZ.21... . . . . . . . . . . . . . .1988. . <br /> To the Planning Board: � . <br /> The undersigned, believing that the accompanying plan of his property in <br /> IW <br /> TOWN OF MASHPEE <br /> the . . .. . . . . . . . . . . . . . . . .. . . .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 /> k, <br /> determination and endorsement that Planning Board approval under the <br /> Subdivision Control Law is not required. _ € <br /> s <br /> 1. Name of Appl i t. . . .�" . . . .�.1: � . . .x . .��/:F'.': . <br /> Address. . . . . . . . vi j . . . . . z.ed <br /> �� j <br /> I <br /> 2. Name of Engineer or Surveyor. . .JON.F.. <br /> Address. . . 478 ROUTE 6A, P. 0. BOX 159, EAST SANDWICH, MASSACHUSETTS 02537 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a: <br /> 3. Deed of property recorded in..B::r::stable .County . . . . . . . . . . . . . . . . .Registry of Deeds in <br /> 967 393 and in Confirmatory Deed Instr unent No.46519. <br /> Book. . . . . . . . . . . . . . . . . . . . . . . .Page. . . . . . . . . . . . . . . . . . . . . . . . € <br /> 4. Location and Description of Property: <br /> Parcel III 0.05 acres +/-, Amos Road <br /> Mashpee, MA <br /> Signature of owner <br /> Address. . . . . . . . . . . . . . . . 4_ <br />