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08-026 Plan Barker March 8 20010 9- z _.(...; FORM A NORTHAMPTON, MA APPLICATION FOR ENDORSEMENT OF PLAN BELIEVED NOT TO REQUIRE APPROVAL File seven completed and signed forms and plans and one mylar with the City Clerk and the Planning Board in accordance with the requirements of Section 3.02. I (we) believe that the attached plan of property in the City of Northampton does not constitute division within the meaning of the Subdivision Control Law, and herewith submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. 1. Applicant (print or type): BARBARA BARKER Signature: Address: 247 COLES ME ADOW RD, NORTHAMPTON Phone: �,�N lew i� 2. Owner (print or type): EDWARD & SHIRLEY Signature: z�'o l�li�d�l' KUBOSIAK Address: 248 COLES MEADOW RD, NORTHAMPTON Phone: 62V - 30 :: 3. Surveyor (print or type): Z r Address: 235 RtTSSRT.T, ST, HADT.F.Y MA 0103 5 Phone: (413) 584 -7599 4. Deed or property recorded in Hampshire County Registry of Deeds or Land Court: Book 5554 p age 92 5319 16 5. Street Name, and Property Location and Description: Street Name: C OLES MEADOW ROAD Description: 6. Assessor's Map ID: 8 Lot(s): 57 7. Number of newly created lots: 0 Date Submitted f lannin Date Plannin Board App Decision F' ed City Clerk a re : City Clerk nature): (July 2000) SUBDIVISION REGULATIONS- - - - - --