08-057 cole meadows road planningFORM A
NORTHAMPTON, MA
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED 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 Sub ivision Control Law is
not
required.
'v
EDWARD W. KUBOSIAK
1. Applicant Shirley Kubosiak
Print or type name Si nature
248 Coles Meadow Road Northampton 584 - 3079
Address
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2. Owner Henry P. & Rose Kubosiak & -A
.1
Print or type name Signature
262 Coles Meadow Road Northampton 584 - 0324
Address Phone
1
3. Surveyor Harold T— Eaton & Accnr
Print or type name Signature
235 Russell Sfrppf Hadley 594 - 7599
Address Phone
4. Deed or property recorded in Hampshire County Registry,
Book 1585 Page 67
S. Location and Description of Property:
Off the West side of Coles Meadow Road.
6. Assessor's Map ID: A Lot(s): 54
Date Submitted r Pla Date Plannin B rd / /G
�v pro Decisio ile !7
City Cler .
2 City C erk.
(Si to e 0j ( gn ture
(8/13/91)
SUBDIVISION REGULATIONS - - - - -- -PAGE 60
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I REPORT THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY
WITH THE 1976 RULES AND REGULATIONS OF THE REGISTERS OF
DEEDS OF THE COMMONWEALTH OF MASSACHUSETTS.
PROFESSIONAL LAND SURVEYOR #35032
OF LAND IN
MASSACHUSETTS
ARED FOR
'HIRLEY - M. KUBOSIAK
JULY 15, 1997
AN D ASSOCIATES, INC.
4 ” 65032 KLUIb i LKLU FKUr t5510NAL LAND SURVE=YORS
,r 235 RUSSELL STREET — HADLEY — MASSACHUSETTS
JUL 2 5 1997 s `'� E � ZO 0 20 40 60 80
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