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4 <br /> t � <br /> TOWN OF MAS ;PEE <br /> COMMONWEALTH OF MASSACHUSETTS TO'f. CLERK <br /> JUL 27 Af91i � 32 <br /> TOWN OF MASHPEE 01 <br /> FORM A <br /> APPLICATION FOR ENDORSEMENT <br /> OF PLAN BELIEVED NOT TO REQUIRE APPROVAL <br /> Date JULY 4-r'. 1.cc1 <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 of Applicant 6410 F. PALLY. Er uX . Phone .(5oa)--746--7531 <br /> Address 143 /3 WADQ•E'w AgL-s UE, PLYrtncuTl MA., o13bo- 442`1 <br /> Owner, if different =VNM0 Phone I+/A <br /> Address (Le--v>) C. we-0 gess Actio MhsT4ES OAA- d24o49 <br /> Attach copies of (a) most recent recorded deed and(b) tax bill or Assessors'certification. <br /> Engineer or Surveyor P--*I�cn W-Yo + 4,r��AE%-4 - Tuc. Phone .(soe)- 4'18--t <br /> Address 812 N1A14•I s-r¢eer cs7»w F arA• dL647 <br /> Deed of property recorded in Barnstable County Registry Book t 1,9 1 9 Page 325 -'G ' <br /> or Land Court Certificate of Title No. w/A <br /> Location and description of property <br /> Lar 2 A�.O AU <br /> P02r •'k a AeF " Qss. Qa," PAe..eL.* its srlv►... ^r- P&A, <br /> �IC r 8c PA=-E 145 e7cR 1ri.Eo A-r DEE.-0 (Sa-+K I I 9 15 PA,-e <br /> I-r 1-5 p 0.01b5C0 Ta P trac mL 1 r3 %.-4,T14 -rTt£z E L oT5 <br /> Mashpee Assessors Map(s) and Block(s) M 21 Pc-Ls 3A _ 4 -+ S L-f PeR•nola of 5 <br /> Signature of Owner or Authorized Representative <br /> Attach written authorizatio signed b owner. <br /> t/a1..ub&es-4,TN c. <br /> 812 M A-I N SYQ�-r <br /> OS�11-i AAA ., CRtoss <br />