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THE COMMONWEALTH OF MASSACHUSETTS <br /> Of <br /> FORMA <br /> APPLICATION FOR ENDORSEMENT AUG 2 <br /> OF PLAN BELIEVED NOT TO REQUIRE AP AL 1989 <br /> File one completed form with the Planning Board and one cop the <br /> City (or Town) Clerk in accordance with the requirements of Se -B. <br /> No... . . . . . . . . . . . . . . . . . . . . . . .August. .26, . . . . . . . .19.a9 . <br /> To the Planning Board: <br /> The undersigned, believing that the accompanying pian of his property in <br /> the —Town. of.Ma&hpee. . . . .does not constitute a subdivision withinthe <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 /> i <br /> Subdivision Control Law is not required. <br /> 1. Name of App 1 i cant . .Avery.Hauesh. and.Melitta. l-ievesh . . . . . . . . . . . . . . . . . <br /> Address. . FX41Uir19k1am.. Ma, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> i <br /> i <br /> 2. Name of Engineer or Surveyor. . . •. . . . . . . . . . . . . . . . . . . <br /> Address. . . . .��r. . . . . . . . . . . . <br /> 3. Deed of property recorded in. . . . . AA94s4?19. . . . . . . . . . . . . . . . . . .Registry. <br /> Book. . k37O. . . . . . . . . . . . . .Page . . 1$27. . . . . . . . . . . . . . . . i <br /> 4. Location and Description of Property: <br /> Lot 79, Sunset Circle, Johns-.Pond <br /> - <br /> . . . <br /> g <br /> Si nature of owner . :.". � <br /> j <br />