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THE COMMONWEALTH OF MASSACHUSETTS <br /> ...... of of ..... _ (�I�C _... <br /> FORM C <br /> APPLICATION FOR APPROVAL OF DEFINITIVE 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-B. <br /> No......................... -�-----.._....---19 <br /> To-the Planning Board: <br /> The undersigned herewith submits the accompanying Definitive Plan of property located in the <br /> I.U�.A2( .........Qc= <br /> ......... <br /> City or Town •• for approval as a subdivision under the requirements of the <br /> Subdivision Control Law and the Rules and <br /> Regulations Governing the Subdivision of Land of the Planning <br /> Board in the City (or Town) of .....AAA-k4-•R ....................... <br /> 1. Name of Subdivider !11.J.a? .-.. - !1i _IJG..... <br /> ------ <br /> Address ......................... ........................... <br /> 2. <br /> 2. Name of Engineer or Surveyor -.-_!� =Y,T `{ <br /> Address .....�-••-•----1"j (L(GI�TZ _ D/... ST ......I�SS <br /> ----------------------•-- <br /> I Deed of property recorded in 414t:)_••�Oc> ........... (ap------------------- Registry, <br /> Book........................................................ Pao-c--------------------------------------------------------- <br /> 4. Location and Description of Property: <br /> SJI'—U)1 v I SI O/J Ot-� TOG SovT Si D>3 <br /> '~ Off' dC�1� —/�C.ti tovTl-1 �D�� >✓�ST �l Dv D F:' <br /> Signature of-&wn-rr -. . a.... <br /> ove <br /> JAddress __.-1'-(�2lCL.?;L_-•---fQ ....... <br /> ............. <br /> JASHPEVITOWN c � ;I <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 /> Fc)" 1882 HOBBS&WARREN, INC., <br /> 1-5-65 <br />