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Moser St AcceptanceZoning/Planning _ Application: Do NOT leave this page until it prints!!! Ow ( [pipe: 1] Hospital Hll Develo Address: 160- FedralStreet, Boston, - Massachusetts 02 -11u Applicant: [pipe: 19] Hospital Hill Develo /by its manager MDFA Address: 160 Federal Street, Boston, Massachusetts 02110 413 755 -1380, emurphy@massdevelopment.com I represent under the pains and penalties of perjury that: 1. The information in this application is correct 2. Two copies of the application (EXCEPT for ANR plans) have already been delivered to DPW. 3. I have ALREADY posted the required sign on the property. 4. The OWNER has authorized the City to inspect this property Applicant signature e�L� --e I t Owner Signatureg `' o Work Location: Moser Street, Northampton 01060 Map ID: 31C 017, Deed: Bk 216 Pg 71 -85, Zoning: PV Permit(s) Requested: APPROVAL NOT REQUIRED Surveys ($250 /plan page) Regulations: 350b Project: street acceptance PERMIT CRITERIA (IGNORE "pipe," it refers to permits you have not applied for.) Finding criteria [pipe: 245] [pipe: 246] Appeal of Building Commissioner [pipe: 252] [pipe: 118] Comprehensive 40B Permit [pipe: 197] [pipe: 196] Variance Application: [pipe: 249] [pipe: 251] Special Permit and Site Plan Criteria: [pipe: 253]: [pipe: 82] [pipe: 254]: [pipe: 87] [pipe: 255]: [pipe: 91] [pipe: 257]: [pipe: 96] [pipe: 256]: [pipe: 102] [pipe: 258]: [pipe: 105] [pipe: 259]: [pipe: 100] [pipe: 156] [pipe: 261] [pipe: 198] [pipe: 199] Requested Site Plan Waivers: [pipe: 210] [pipe: 185] CITY CLERK USE: Submitted. / /09 Decision. / /09 View Results f I r t ` ' Application must include fee and (except for ANRs) $40 check made to "Daily Hampshire Gazette" INSTRUClIONS to file your application (".e WE, the undersigned, pursuant to MGL chapter 82, section 21, petition the Northampton City Council to accept Olander Drive as a City Street. DATE: October 25, 2006 The following signatures by residents of the City of Northampton are provided in accordance with the City of Northampton Rules and Regulations Governing the Subdivision of Land Section 8:07 Street Acceptance Plans, as last amended: ure g ature Signature Sig ature Si ture atu �. / :i•_ atgt /l Sig ature PETITION FOR STREET ACCEPTANCE Name (print) 1 J$(n /k /he, Name (print) fit) iYlc, Name (print) Array N - me Sri Resident Address /1 3 tij(4c 7e- S . d .x ec Resident Address S ,vLw s 4.77/ 201 f 'n Resident Address 3 L "V Resident Address L/6 f f , rti. Resident Address yG e /Overda /c S7`. c41e ce Resident • ddr:. s • • �i. di ("6 u Name (print) Resident Addres r - ems ��+---( 4,./( 1 Name (print) Resident Address