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TOWN OE MASREE <br /> COMMONWEALTH OF MASSACHUSETTS Ti N CL E R K <br /> TOWN OF MASHPEE 01 JUL 21 API 11 : 33 <br /> FORMA <br /> APPLICATION FOR ENDORSEMENT <br /> OF PLAN BELIEVED NOT TO REQUIRE APPROVAL <br /> Date JuLy 4-7, <br /> To the Planning Board: <br /> The undersigned, believing that the accompanying plan of his or her property in the Town of Mashpee <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- <br /> Name <br /> equiredName of Applicant 6-ysb F. P£ILLY. Er ux . Phone .(Sog)--7446--7S3r <br /> Address 113 N wi*aeI-.r AyEt-wtE, PL`/Mou'rH MA., 07.360 44-v? <br /> Owner, if different --NNAAa Phone "/A <br /> Address (LQ ) C. Neo ga=ussp 'Mhsr+PEE MA- <br /> Attach <br /> A Attach copies of (a)most recent recorded deed and(b) tax bill or-Assessors'certifreatioir: <br /> Engineer or Surveyor t2j bcTy L., 1 "im fE 4=LAAGOii3L4 - Tix. Phone _(sags) 428•9r3.I <br /> Address (312 A4AII..1 a�eT os•»vlL.Le aro. -' (VI& <br /> Deed of property recorded in Barnstable County Registry - -Book- •t l;9'I,s Page <br /> or Land Court Certificate of Title No. s.Jw <br /> Location and description of property <br /> Lar 2 st..o o P02T»_. � ' Q/�e2.,tdp FhP.ceL' As sr�ewKt + ar P�.r.r <br /> FA14 I Se PAM-a AS$ f bc—_ 1I C. O A,r peeto NKK I I 915 <br /> 1T 17 P0•o PcSl_-0. Te coin A.rta6 P'h4C.t=L 1 M wrtl{ "ft S L_oTS <br /> Mashpee Assessors Map(s) and Block(s) M It pus 3'A-,4 4 s LY PaR'ne1.LOF S <br /> Signature of Owner or Authorized Representative QLs - <br /> Attach written authorizatio sio red b owner. &wrm� t---4s + ���I rM� <br /> b 12 Iua,L.s-r¢� <br /> CDSM-tti 1 L1.,6, MA .� 02(055 <br />