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I 1' <br /> COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> FORM A <br /> APPLICATION FOR ENDORSEMENT <br /> OF PLAN BELIEVED NOT TO REQUIRE APPROVAL <br /> Date iL,L`, 4.77., 'nLo I <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. f <br /> Name of Applicant c'5- . { I . S7�4r�r E-r _ J 2 Phone (Soft)-4.71- S599 <br /> Address A6 M&L-t5SA AA+tsr4-Pt=.e AAA., CAG-4--y <br /> Owner, if different SnnnE Phone <br /> Address CKs <br /> Attach copies of (a) most recent recorded deed and(b) tax bill or Assessors'certification. <br /> Engineer or Surveyor &4xT1'2. At--ir-- 4 tFaLr j gv-, I1..rc. Phone <br /> Address 812 AAA-Lk STtr_-Et r Os7�2.n1 r�� "A. , O2G95s <br /> Deed of property recorded in Barnstable County Registry Book -I(A. Pages '11-'1e <br /> or Land Court Certificate of Title No. w/a <br /> Location and description of property <br /> f'-� 16 C. 4'hc8 I c 1 A-►.0 D�rL ,AC-0 A•r DBt n <br /> fS�rc 96� -i-1-9 a • i T i s P O0 P.=,serD -ra r�f�w.- r A <br /> Mashpee Assessors Map(s)and Block(s) M 11. 1 p�_Ls 1e -¢ <br /> Signature of Owner or Authorized Representative — F <br /> Attach written authorization i\gned by caner. r <br /> I3PrxteYt, t.-,-,r�� �-hor_atcPO-�, ruL_ <br /> 8121AA-ru sTQ�cr <br /> 0--7r5Lv,LAAS, MA,-, 4=24-SS <br />