23D-139 (5) •
i C r tiJIId [ 1
1I , ,,
, , 2 FORM A
3 199 NORTHAMPTON, MA
DEPT OF BUIi' CAT1Cik FOR ENDORSEMENT
NORTH M
VED NOT TO REQUIRE APPROVAL
File five completed forms and plans and one mylar with the City Clerk and the
Planning Board in accordance with the requirements of Section 3.02.
To the Planning Board:
The undersigned, believing that the accompanying plan of his/her property
in the City of Northampton does not constitute division within the meaning of the
Subdivision Control Law, herewith submits said plan for a determination and
endorsement that Planning Board approval under the Subdivision Control Law is not
required.
1. Applicant Rick Janes /�i24/4/J
Print or type name Signe
22 Norfolk Ave. , Northampton 586 - 3664
Address Phone
2. Owner Estate of Monica Janes Agent
Print or type name Signature
90 Hinckley Street, Northampton
Address Phone
3. Surveyor Harold L. Eaton & AssocT;a/AAa 7 ,
Print or type name Signature
735 Rts sell Street. Hadley 584-7599
Address Phone
4. Deed or property recorded in Hampshire Registry,
1048 314
Book 1115 Page 357
5. Location and Description of Property:
6. Assessor's. Map ID: 23D Lot(s) : 139 .
Date Submitted for Planning Date Planning Boas
Board Approval: Decision Fil 19
v
City Clerk: City Clerk:
(Signature) igna u
(8/13/91)
SUBDIVISION REGULATIONS PAGE 60