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-03 3 : 34 PM DOWN CAPE ENGINEERING 508 362 9880 P. 02 <br /> NO.070 caz d <br /> COMMONWEALTH OF MASSACHUSETTS CD -I <br /> 0 <br /> TOWN OF MASHPEE c o1 <br /> n s Q <br /> FORMA C=) s <br /> APPLICATION FOR ENDORSEMENT v <br /> OF PLAN BELIEVED NOF TO REQUIRE APPROVAL s <br /> Date �UG. L'f Z o o t a m <br /> To the Planing Board: <br /> 1116 undersigned, believing that the accompanying plan of his or her property in the Town of Mmhpee <br /> does not constitute a subdivision within the meaning of the Subdivision Control Law, herewith submits <br /> said plan for a determination and endorsement that Planning Board approval under the Subdivision <br /> Control Law is not required. t <br /> Nana of Applicant Lc E W. M RyAK Phone SW 4Z 9!— G78� <br /> Address XO. BOK. fe3S Ce7lr r7 <br /> Owrfer, if different Phone <br /> Addrem <br /> 4411ach coples of(a)most recent recorded deed and(b)tax bill or Asiessors'certificirtion. <br /> EagineercrSurveyor ,A—gAIM C6AJ,e, Phone 508-362- 4541 <br /> Address tZcfjj4 <br /> 9.?9 M,4 it ST: lJctrisroar <br /> Deed of property recorded in Barnstable County Registry Book Page <br /> or Land Court Certificate of Tide No. <br /> PILODN-re OFr MAR-C.V9 K. $RYA6A ftL9V lt/3a1198/ <br /> Location and description of property $A?-#A Ei R B6. Or <br /> lee--* YL. , SEMM..r- o..F i r <br /> _h1ap-rr1 'nim L or ,t L-L- gCAD <br /> Masihpee Assessors Map(s)and BIock(s) M A p $ Z _�G L 61 <br /> SignaturecfOwner orAuthorized Representanvx—@AAtx # <br /> Attach written authort`arion signed by owner_.. <br />