Laserfiche WebLink
COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> FORM A <br /> APPLICATION FOR ENDORSEMENT <br /> OF PLAN BELIEVED NOT TO REQUIRE APPROVAL <br /> Date V ti ta�,U Y <br /> To the Planning Board <br /> The undersigned, believing that the a000mpanyeng plan of his ar her gmpeity in the Town of Mashpee dotes <br /> not ooasfitute a subdivision within the meaning of the Sub vision Canavl Law,herewith snits said plain for <br /> a demmnination and endorsement that Plug Board approval under the Subdivision Control Law is not <br /> Name of Applicant �A�1AEms. �,� Cit'roc.Ick�K. � Jh� • �� one �d8 � ��aL �$�D <br /> Ad&= 0CVaW1uLe,__. Mh 0-7,U5q* <br /> Owner,if diffemd Phone <br /> Address <br /> Attach copies of (a)most recent recorded deed and(b) tax bill or Assessors certification. <br /> Eagineeror5uuveyor �.��i. �VF��.i ��ul�r�t�+! I uL. Phone <br /> Address 131-z., HMO srr. OsyrerL✓+uA�- , NI Ar o <br /> Deed of property recorded in Barnstable County Regist7r Book 4%1()L- Page <br /> or Land Court Certificate of Title No. <br /> Location and description of property <br /> LOOT Z) <br /> R <br /> Mashpee Assessors Maps)and Block(s) �D'� Z.4-1 14 Z ----- -- <br /> Signatuore of Owner or Authofized Representati r� <br /> Attach written art " atio '1gned own <br />