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11A-028A upland road planningFORM A NORTHAMPTON, MASS. September 12, 1986 Date APPLICATION FOR ENDORSEMENT OF PLAN BELIEVED NOT TO REQUIRE APPROVAL File one completed form with the Planning Board and one copy with the City Clerk in accordance with with requirements of Section 3.02. To the Planning Board: The undersigned, believing that the accompanying plan of his 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 Carol Quinn Print or type name Signature 100 Front Street, Leeds, Ma 01053 Address 2. Owner Carol Quin n tj e.'e-z � Print or type name Signature 100 F ront Street Leeds Ma 010 Address , 3. Surveyor George Quinn Print or type name Ognatu e 100 Front Street,_ Le eds, Ma 01053 Address 4. Deed or property recorded in Hampshire County _ Registry, Book 833 Page 122 5.'* Location and Description of Property: Property is on the southeast corner of Chestnut Avenue and Upland Road in Leeds. Date of Submis ion September 1 City Cler g t la ree 33