14-042 north king st planningFORM A
NORTHAMPTON, MA
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
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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 Subdivision Control Law is not
required.
1. Applicant &Aao /7 ALA C-�+A
Print or t name Signature
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Address A shone
2. Owner r L S
Print or type name
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Address
Phone
3. Surveyor "jJ0,4LL
e Print or type name Signature
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Address Phone
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4. Deed or property recorded in 14iM Of; 1-4 1 e rt- Registry,
4 4S
Book C o 3 t" Page — S A : 5
S. Location and Description of Property: c
N- - S t fl r N e p—A -, i�t nl G J 't' I�-
6. Assessor's Map ID: 14 Lot(s): 1 6 C 7 - o
Date Submitt r Plannin Date Planning Bo rd
Board Aprov ;� Decision F'
a
A3. k r I X City Cler
gn t ) igna e)
(8/13/91)
SUBDIVISION REGULATIONS - - - - -- -PAGE 60
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