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A G A W A M P L A N N I N G B ❑ A R D
36 Main Street
Agawam, Massachusetts 01001
Tel . 413-786-0400 Ext. 245
FORM A
Agplication for Endorsement of Plan Believed Not to Require Approval
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY WITH
THE TOWN CLERK .IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 11-B
Date; May 2, 2012
TO THE PLANNING BOARD:
The undersigned, believing that the accompanying plan of his property
in the Town of Agawam does not constitute a subdivision 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 . „
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1. NAME OF APPLICANT Steven W. Hearn
Address 67 Yale Avenue - Agawam
CO rr
2. NAME OF SURVEYOR D.L. Bean, Tnc.
Address 40 School Street - Westfield, MA 01085 tip ''o
3. DEED OF PROPERTY RECORDED IN Hampden County Re istr f Dee
11491 488
Book 18106 Page 304
4 . LOCATION OF PROPERTY: Property is located on Yale Avenue and
Cambridge Street
5. DESCRIBE THE PROPOSAL IN THIS SU13M I SS I ON: Revise Lot #8 and Lot #34
to create new Parcel C and Parcel B to be conveyed to Steven W. Hearn.
ATTACHMENTS - TWO ORIGINALS AND THREE COPIES OF PLAN BY CERTIFIED
LAND SURVEYOR. THE PLANS WILL BE DISTRIBUTED AS FOLLOWS: 1 ORIGINAL
TO THE TOWN OF AGAWAM ENGINEERING DEPARTMENT, ONE ORIGINAL TO BE
RECORDED AT REGISTRY OF DEEDS BY THE APPLICANT, ONE COPY FOR THE
ASSESSORS OFFICE, ONE COPY FOR THE PLANNING BOARD OFFICE, AND ONE
CERTIFIED COPY FOR THE BUILDING DEPARTMENT .
Signature of Owner
Address
Town of Agawam
Ott 36 Main Street Agawam, Massachusetts 01001-1837
Tel. 413-786-0400 Fax 413-786-9927
May 17, 2012 �
Steven W. Hearin C?
67 Yale Avenue c y
Feeding Hills,MA 01030
Dear Mr. Hea
rn:
At its duly called meeting held on May 17, 2012,the Agawam Planning Board voted to approve
your plans under "Subdivision Control Law Not Required" for a parcel of land located on Yale
Avenue & Cambridge Street. Plans drawn by D.L. Bean, Inc. and dated 5-02-12, revised 5-16-
12.
Sincerely,
AGAWAM PL G ARD
Please be advised that failure to record the plan within six (6) months and provide proof of
recording will negate the action of the Board. Detach on dotted line and return to the Agawam
Planning Board, 36 Main Street, Agawam, MA 011001.
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Hearn and approved by the Agawam
Planning Board for a parcel of land located on Yale Ave_ . & Cambridge St. has been recorded at
the Hampden County Registry of Deeds. Book , Page