Laserfiche WebLink
THE COMMONWEALTH OF MASSACHUSETTS <br /> O Ce/N <br /> FORM A <br /> APPLICATION FOR ENDORSEMENT <br /> OF PLAN BELIEVED NOT TO REQUIRE APPROVAL <br /> File one Completed form with the Planning Board'and one copy with the <br /> City (or Town) Clerk in accordance with the requirements of Section II-B. <br /> No <br /> -------I9--ZZ <br /> To the Planning Board: <br /> JIL <br /> The undersigned,believing that the accompanying plan of his property in the r <br /> -----_----------------does not constitute a subdivision within the meaning of the <br /> City or Town <br /> Subdivision Control Law, herewith submits said plan for a determination and endorsement that Planning <br /> Board approval under the Subdivision Control Law is not required. <br /> I' <br /> 1. Name of Applicant ------Z g n f e /& �h � <br /> - ---------- ---------g----------- <br /> Address <br /> 2. Name of Engineer or Surveyor .... 1-r------- ---- - - <br /> C.. R _ t �S/�/rsG11' S� r <br /> -- <br /> Address ----------------------------------- <br /> - ------------------------------- <br /> i <br /> 3. Deed of property recorded in ----------------------125-_erhf/la Ii1--e <br /> --------------------------------------------- ----- Registry, <br /> Book <br /> ......z_ -- -- -. Page —Z <br /> Za 7 <br /> 9. Location and Description of Property: j <br /> Tow,, iG1 G9 <br /> Signature of rsVracr ------------- ------- <br /> 010.-e <br /> 010.-e <br /> Address ----!2�r-----5-e-f!z'�y ---------------------- ---- <br /> IoRM 1680 1IOB9S&WARREN. INC., <br /> 7-5-65 <br />