16A-022 App. for Endorsement of Plan Believed Not to Require Approval Tracy January 14 1988U 16 6 21 �
FORM A
N
CRTHAi: ?TGJJ, 1:ASS.
January 14, 1988
Late
AFPLICATIM: FOR E;IDORSZP ;,T
OF Fi,A;: BELIiVEL NOT TO .REQu:[p.E ArFap',/Aj,
.
File one ccr, fora with the Planning
and one cop;; with the City h th
with requirements of S Clerk in ace
ee with
Of-Section
3.02. .AN 2 16
To the Planning Board:
The undersigned, co
believing that the ac Cit
his property in the f Idoi•th�pt Pying• plan or
division within the meaning does not constitute
herewith submits said plan -for andetermination and Control d Law,
that Planning Board approval under the Subdivision
Is not re ndorsement
required. ision Contrg�Law
1 • Applicant
Eu_ene Tac
Print or type 'name
32 Lake Street, Florence, Ma. 01060 SignB ura
2 • Owner Same Address
Print or type name
Signature
3. Surveyor Harold L. Eaton &dAssocs.
rrint or nave type Inc. � � •�
9 Sunrise Drive, Hadle �` tL
y, Ma. Signature
Address
y• Deed or pr.cperty recorded in Hampshire County
Book 2788 Registry,
Page 46
5• Location and Descriptio •
side of S rin of Property: Located on the Easterly
Map c• P g Street and being Lot 26 as shown
.on Assessors
P
Date of
City Cle
33