10-031 Application for endorsement Grove ave.' 1
FORM A
NORTHAMPTON, MA
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
File seven completed 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.
Q '0 Z24' I
1. Applicant (print or type): John Skib iski Signature•
P.O. Box 381, Northampton, MA I 584 -342
Address: Phone 8 :
Beaver Brook ""
2. Owner (print or type): Nominee Trust Signature:
150 West 56th Street, Apt. 5905
Address: New York, NY 10019 Phone:
3. Surveyor (print or type): Heritage Surveys, Inc .Signature:
Address: P.O. Box 1, Southampton, MA 0 Phone: 5 2 7- 3600
4. Deed or property recorded in Hampshire County Registry of Deeds or Land Court:
Book 5869 Page 6
5. Location and Description of Property: - or U2 �J�Yty'e
Parcel A Area = 39,511 s.f. and Parcel B Area = 615 s.f. as shown on a
plan prepared for John F. Skibiski Trust by Heritage Surveys, Inc., dated
04/06/00
6. Assessor's Ma Lo s
Date Submitted fo lanning Date Planning Board
Board A oval: d o Decision Filed:
City C City Clerk (signs �e)
(08//?/99)
N
MAY 3 �_ _.)._
CITY CLERKS OFFICE
u NORTHAMPfM MA 01 h
F7
SUBDIVISION REGULATIONS