09-008 Kennedy Road Zoning+ f
FORM A
NORTHAMPTON, MASS.
Date
AI'PLICAT I ON POR ENDORSEMENT
OF PLAN BELIEVED I10'2 ']'0 REQUIRE APPROVAL
Yilo one completed form with the Planning Board
:it)d one copy with the City Clerk in accordance with
with requirements of Section 3.02.
To the Plann.i ng Board:
;he undersigned, beiiev.ing that the accompanying plan of
h-is property in the City of Northampton does not constitute
d -1 vi lion w_i thin the meaning of the Subdivision Control Law,
rierewith submits said plan for a determination and endorsement
that Planning Board approval under the Subdivision Control Law
is not required. A
Pk WISK0 h d Oe ���-i . A N b .
Print; or type name Signattu e
1W P*m* 3bre4, Leede, Maseaah t =3 (,^1 t.h— W44A4t °
Address
L . Owner _ t: '168 & D?rq�m Nduning
Print or type name Signature
Kami ftM Leeds, M 01053
Address
3 S u r v e y o r_ ALM Mt Io y t Jr & Aaeae o. 1 13c.
Print or type name ffignature
3z plea" .br" t M , l eeaah te► Moo --
Address
%l. Deed or property recorded in Memwtdx'e Registry,
139 294
Book 105 _ _Page 1
1_oc.iL1..n end Description of Property:
Md.eU49 hom end VUUS plUB eFPMXteedte y 1B 44M Ot' woods 8cd Open
fie1dt, 1OAKSY Of XdMW V Rmd, 1,e40ft e Mdtl1l��h1l� &I .
Date of.' Sul
City Clerk
1 41
33
METCALF & EDDY