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THE COMMONWEALTH OF MASSACHUSETTS <br /> /.. ... of . ............................................ <br /> FORM B <br /> APPLICATION FOR APPROVAL OF PRELIMINARY PLAN <br /> CD <br /> Pile one completed form with the Planning Board ant] one copy with the OIn <br /> r <br /> City (or Town) Clerk in accordance with the requirements or Section 111-A. O <br /> Lo T <br /> No......................... . .................. ...fl <br /> � o <br /> To the Planning Board: <br /> d <br /> The undersign�eed/ herewith submits tlhe nccompnnying Preliminary flan of property located in the <br /> ra((l ...Q,�///CiS� ......................... for approval as a subdivision no allowed under the Subdivision <br /> .. .. <br /> City nr To a <br /> Control Low and the Rules and Regulations Governing the Subdivision of Land of the Planning Board in <br /> the City (or Town) of...../ /Q�F�,,jVe ....................................................... <br /> 1. Name of Subdivider .../.....AuL..•.-°{.' � .. <br /> AlJrcee .... ' f ................................................. <br /> .X <br /> .J L 1 <br /> 2. Name of)Engineer or Surveyor ... f-.1/C��P�.....�rT� f 6JSJDG , _--.. <br /> g y l �............ ..............c.............................-..... <br /> Address P�:...Bc' ..�2 r� 5.... .�"%/.`�Gdt1:...... ./ .% ........�j,�...�233� <br /> f�Qr s.. 6/ .............................................................fj ........... Registry. <br /> 3. Deet of propertynre//corded in .......!S/......... �. <br /> Book ........./1Y4TI....................... Page ................................................ <br /> 4. Location and Description of Property: <br /> � D <br /> .. <br /> Signature of owner 4....................... . . . ...................... <br /> Map 7q P/0-/- <br /> AJt]ress .ti.. ................................_...... <br /> A list of the names and addresses of the abutters of this subdivision is attached. "Verification will be mode by <br /> the Planning Board. <br /> t.a-ss <br /> rORM IEaI N09a%S WARREN. INC.. <br />