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stX s4-i'X, ',zi t4�;fii jtx, 4M0 2 s 4WANWOy <br /> TH! COMMONWILALTH OF MASSACHUSETTS <br /> of <br /> FOIL-A.1 A03 <br /> .AUG i <br /> APPLICATION FOR ENDORSEMENT <br /> . OF PLAN -BELIEVED NOT TO 'REQUIRE APPROVA <br /> File one completed Torah with the Planning Board and obis copy with t <br /> City (or Town) Clerk In aerordance with the rtajuirehncnti•.or Scatlon II-B <br /> . •• .3 -:19.x.:.. - <br /> Tho plannlus.Boardt:— - � , -. +: <br /> - <br /> The tuulrrii*ta•d.heli.•t•ing that the accompanying plan or 61a proncrty'taz the ' <br /> ant ooniiitStra'si subtltei�tioa within tho .hhcanieite�oi: the: <br /> clts Orr Town, ' <br /> bdlddoa•Coatroi:F.a r lirretcitli FtiLanits iahl.plat, foes ectermination and eadonemrnt tlia":Ptaoihitig;; <br /> . . • • <br /> 111d.approval under,tlit. ubdtviahu Cuatrol I.0 r i+not iegthired,' <br /> �rvs lee , <br /> 1'hma of slpplidant=.,X <br /> i�-.. ... . ,.....,.».�.--.. . . <br /> •6Z <br /> Address ......»..»».........».»......,.......... ........ .. rlc-!� <br /> (/ C+ar,GtSUGTi�/1/ <br /> LG <br /> lame of Irnglncer or Iurceyor <br /> Aildrea }L /'R ... »......../"Yl <br /> ��i/ .�V•.»......' M.M. r. ...• <br /> Deed of property recorded in'. ��' a •� ... . . . ...........+.. ....... ......... <br /> .... . ...................». »................. ... <br /> rl,7 l68 <br /> Z s <br /> book..:, SS.......r.,,......»....... ... Pa^r....... /. . .. ...'.......... <br /> Location and Description or Propeityt �GUO " c�/� L°dr1 ! <j <br /> 9�-es � / WI-1-4 rr�i�. 4 a ores� �e• .�ovq� <br /> /OT� q iro x, / /e &w7%ales a Q l f? <br /> Cq <br /> `. ._Z .: ....... . <br /> Vit::natura of owuer . .......... .. . <br />