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APPROVAL UNDER THE SUBDIVISION
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1V0R71- 4MPTi✓VV R.ANNING BOARD
DATED f— 6 " / NO
LEGEND
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.� PLAN OF LAND IN
NORrHAMPrON, MASSACHUuW77S
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SUR VEYED FOR
HENRY P. and ROSE S, KUBOSIAK
/ CERTIFY THAT TH PLAN HAS BEEN PREPARED IN CONFORMITY SCA l "= 50' AUGUST 4, 1986
W/ TH THE 1976 RULES AND REGUSL A TION S OF THE REGISTERS y
OF DEEDS OF THE COMMONWEALTH CF MA SSA CH USE T T S . EI4TJN «
HAROLD L. EA TON, PROFESSIONAL LAND SURVEYOR
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SURVEYOR 15 O 15 30 45 60
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REMAINING LAND OF
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BOOK 1565 PAGE 67
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FORM A
Au gust 5, 1986
Date
- AFPLICATIO:: FOR ENDORSEY11::
OF FiA:; i;ELILVEli NOT TO REaUIP.E APPROVAL
File one complete., fora with the Planning Board
and one cop;; with the City Clerk in accordance witt,
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 app -roval under the Subdivision Control Law
is not required.
1. Applicant Henry Kubosiak
Print or type name
262 Coles Mea Road, North ampton ,
2.
3•
4.
dress
j iii...• � _ � . �► %�._.
Owner Henry Kubosiak '
Print or type name Signature `-
262 Coles Meadow Road, Northampton, Mass.
Address
Surveyor Harold L. Eaton, P.L.S.
Print or type name Signature
9 Sunrise Dri ve, Hadley, Mass. 01035
Address
Deed
or property recorded
in Hampshire
County Registry,
Book
1585
P age
17
5. Location and Description of Property: Being a portion of Lot 54
as shown on Assessors Map #8
Date of Subni ion August 6 1986
City Cler
Sign t e
33