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i <br /> t <br /> I <br /> Town, oJ'Alashpee Planning Board <br /> '111PVC, ll?li-lct <br /> FORM A <br /> i <br /> APPLICATION FOR ENDORSEMENT OF PLAN BELIEVED NOT TO REQUIRE APPROVAL <br /> Date: January 8, 2020 <br /> .To the Planning Board: The undersigned, believing that the accompanying plan of his or <br /> her property in the Town of Mashpee does not constitute a subdivision within the meaning <br /> of the Subdivision Control law, herewith submits said plan for a determination and <br /> endorsement that Planning board approval.under the Subdivision Control Law is not <br /> required. <br /> Name of Applicant.Joanna Cook Kjellmarl phone. (617) 538-7559 <br /> Address 258 Grove Street Westwood, MA 02092 <br /> _ <br /> Owner, if differentSame Phone. <br /> Address . -_ <br /> Attach copies of (a) most recent recorded deed and (b) tax bill or Assessors' certification. <br /> Engineer or surveyor David J. Crispin PLS Phone.617-896-4451 <br /> Address_803 Summer Street Boston MA 02127 <br /> Deed of property recorded in Barnstable County Registry Book Page <br /> 21402&216945 <br /> Or Land Court Certificate of Title No. .. <br /> Location and description of property <br /> Currently L.C.Lots 1737(18 Cottage Lane), 1738(20 Cottage Lane)&1739(22 Cottage Lane)on Land Court case#11408-210. <br /> Certificates#221402 (Hs$ 18),#221402(Hs#20)&#216945(Hs#22)to be redivided into 2 lots <br /> Mashpee Assessors map(s) and.Block(s) Map 1 16- Parcels 114 15-0 &116-0 <br /> g Authorized Representative <br /> �... <br /> Signature of Owner or ve Attach written authorization signed br ez mer. <br />