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K TOWN OF AGA WAM 36 MAIN STREET 'f 4' AGAWAM,, MA 01001 March 2, 2011 BOARD OF APPEALS The Agawam Board of Appeals will hold a public hearing in the Agawam Public Library Community Room, 750 Cooper Street, Agawam, MA,beginning at 6:30 P.M., Monday, April 11, 2011 for the following: Case 4: 1874 Petitioner: Brian and Jennifer Zaniewski Address: 68 Katherine Drive Reason: Seeking a Special Permit in accordance with Section 180-71, Paragraph H of the Town of Agawam Zoning Ordinances to allow for substantial improvements to a residential dwelling found to lie within the floodplain at the premises identified as 68 Katherine p Drive. _ N O rr- � 3� 3 3v, Advertise: March 24, 2011 and March 31, 2011 >,c r w n rn Doreen Prouty Chairperson DP/jb CANNED 2- 11 VV Pao� A TOWN OFAGAWAM 36 MAIN STREET f AGA WAM,, MA 01001 March 2, 2011 BOARD OFAPPEALS E ,A The Agawam Board of Appeals will hold a public hearing in the Agawam Public Library Community Room, 750 Cooper Street, Agawam, MA, beginning at 6:30 P.M., Monday, April 11, 2011 for the following: Case#: 1874 Petitioner: Brian and Jennifer Zaniewski Address: 68 Katherine Drive Reason: Seeking a Special Permit in accordance with Section 180-71, Paragraph H of the Town of Agawam Zoning Ordinances to allow for substantial improvements to a residential dwelling found to lie within the floodplain at the premises identified as 68 Katherine- a Drive. Xm l� Advertise: March 24, 2011 and March 31, 2011 0 n rn Doreen Prouty 4 Chairperson - DP/j b TOWN OFAGAWAM 9 3 6 MAIN STREET �� a! AGAWAM, MA 01001 �m DECISION OF BOARD OF APPEALS ATEO�Py� Petition of Brian and Jennifer Zaniewski I Premises affected: 68 Katherine Drive Date: April 11 201.1 Case#: 1874 Es 0 The Agawam Board of Appeals conducted a public hearing and meeting on April 11,@611 at the Agawam Public Library Conference Room, 750 Cooper Street, Agawam, MA for a1 3 J parties interested in the appeal of Brian & Jennifer Zaniewski , who are seeking a Special Permit in accordance with Section 180-71, Paragraph H of the Zoning Ordinances,to allow I for the construction of an addition to a residential structure found to lie within the flood plain at the premises identified as 68 Katherine Drive. J After the public hearing and after a thorough review of the facts presented,the Agawam Zoning Board of Appeals made the following findings: I i. The subject property is located in an area of town zoned Agriculture. 2. The petitioner is seeking to construct an addition to a residential dwelling on the subject property which has been found to lie within the flood zone as identified by HUD Flood Map 2501330002 A. 3. Section 180-72, Paragraph F of the Town of Agawam's Zoning Ordinances states "no new extension of a structure for human occupancy as permitted under Section 180-71 J shall be allowed beyond the foundation state unit elevation of the lowest floor(including 4 basement) has been checked and certified, in writing, to the Inspector of Buildings or as J being the elevation as stated on the approved plans or higher". 4. Section 180-71, Paragraph H states "new construction or substantial improvements of J residential structures within the Floodplain Zone will have the lowest floor (including the I basement) elevated to or above the level of the one-hundred-year flood". j 5. The proposed addition will be above the level of the one-hundred-year flood. J 6. The proposed addition will meet all zoning requirements. J 7. A memo was received by this board from Henry Kozloski, Chairman of the Agawam Conservation Commission, dated March 7, 2011, stating that "if work is taking place in I the 100 year floodplain, then a filing with the Conservation Commission will be necessary. 8. The petitioners are unsure if the location of the proposed addition lies within the 500 year j floodplain- 9. The proposed residential dwelling is an allowed use in an Agricultural zoning district. The subject property is an appropriate location for such a use. 10. The conditions as set forth by this special permit help to insure that the use, as developed, will not adversely affect the health, safety or property values of the neighborhood. J 1 ! `,CANNED-14L"�'01C- DECISION Brian & Jennifer Zaniewski Case 4 1874 11.No evidence was presented to show that this proposed project would create any nuisance or potential hazards to vehicle or pedestrian safety. 12. The conditions as set forth by this special permit help to insure that adequate and appropriate facilities and controls will be provided for the proper and safe operation of the proposed use. 13. The proposed use is not considered so objectionable or obnoxious that the proposed use would be against the public interest or detrimental or injurious to the character of the neighborhood. Based on its findings,the Board is of the opinion that it is within the authority of the Zoning Board of Appeals to grant a Special Permit as stated under Section 180-71 of the Zoning Ordinances. Now, therefore,by a unanimous vote of its three members,the Agawam Zoning Board of Appeals hereby grants the petitioner a Special Permit to allow for the construction of a single family dwelling found to lie within the floodplain subject to the following conditions: 1. The proposed addition shall be constructed according the plan entitled " Plan of Addition, 68 Katherine Dr.", drawn and stamped by Paul Smith, Professional Land Surveyor, 319 Shaker Road, East Longmeadow, MA, dated January 21, 2011 and signed by the members of this Board. 2. All zoning and building requirements are to be met. 3. The petitioners must file with the Agawam Conservation Commission to determine if approval is required. 4. The petitioner shall record with the Hampden County Registry of Deeds a"Notice of Special Permit" form, which shall be provided by this Board and proof of said filing must be submitted to this Board and to the Inspector of Buildings. 5. This Special Permit shall become null and void if construction does not commence within two (2)years from the date of this decision. This decision is subject to appeal in accordance with M.G.L.Ch. 40A, Section 17 within 20 days after this decision is filed with the Agawam Town Clerk. Attachment: Signatory Page of Decision 2 TOWN OF AGA WAM 36 MAIN STREET AGAWAM, MA 01001 BOARD OFAPPEALS , J 3 Sii natory Page of Decision 3� 3 cn Case #: 1874 I Date: April 11, 2011 Applicant: Brian and Jennifer Zaniewski Address: 68 Katherine Drive I By a unanimous vote of its three members, the Zoning Board of Appeals hereby grants the petitioner a Special Permit. This approval is subject to the conditions set forth in the attached written decision. Doreen Prouty Joseph Conte James Marmo Gary Suffriti (Alternate) chard M ggi (Alternate) .,,4,:, AJjAWAM,CLfiAXlS OFFICE AGAWWAfit MA 1 APR 19 A , ; 7k KAjo Wl , R=255.0� A=120-00 DRAIN I �A EASEMENT i 43.8' H60'5E i 1s' I I LOT 11 LOT 7 w M� �. W Aq PGAO V rn �Y :n O [n co t'r] N� LOT 9 1 .60 ACRES :Olga SHED steed'dd 10 p-1106 6u+.u0z We"a'4 PROP GARAGE T FIRST FLOCIR 68.85 �0 lr9°9�s0°, GAR. FLOOR 66.95 TOP OF FOUNDATION 67.95 68 ��ry a 66 � EXIST PROP. HQUSE64 00 GROUND A �' A: ` BASEMENT F_OOR 6fl.6 62 BASE FLOOD ELEVATION 58 60 pprovaabl eats PLAN OF ADDITION 5s °�; Baatd� Aap 68 KATHARINE DRIVE � P9awam Zontn9 ;. CRASS SECTION AGAWAM , MA OWNED BY °aye' BRIAN & JENNIFER BENCHMARK yYl ZANIEWSKI TOWN OF AGAWAM DISK #122 FLEV.= 61.19 a��ytH OF PS. DATE: JANUARY 21 , 2011 SCALE: 1 " = 40' 1 "° 4°9�' PAUL S. SMITH LAND SURVEYING FS o' 40 80' 120 �FClST�R�� s��NAL LAN�S� 319 SHAKER ROAD EAST LONGMEADOW, MA I Z I 1 (413) 525 4700 • TOWN OF A GA WAM FOR OFFICE USE ONLY '¢ 36 MAIN STREET Case #: hZr7q AGAWAM, MA 01001 Filed: / BOARD OF APPEALS : Hearing: D spy Expires: Application to Board of Appeals for SPECIAL PERMIT as provided in the Zoning and other By-laws. Applicant—s� Ld _L`1 2/7/&QUA t Address jrjrZ, Application is hereby made for a SPECIAL PERMIT as provided by Section / Paragraph of the By-law. / Premises affected are situated on 61l�Yal'jn�2 _ Street, feet distant r from the corner of Street and known as street number Property is zoned as ' , Reasons) for request of Special Permit: dF GO � An c- Signature of owner or his authorized agent: Telephone #: 7n— NOTICE. THIS APPLICATION MUST BE FILLED OUT IN INK OR TYPEWRITTEN SCANNED Bk 12477 Pg476 #65474 WARRANTY DEED JEFFREY M SWINEHART and SARAH A. SWINEHART, of Agawam, County of Hampden,Commonwealth of Massachusetts,for consideration of ONE HUNDRED NINETY- NINE THOUSAND and NO/100($199,000.00)DOLLARS grant to BRIAN M. ZANIEEWSKI and JENNIFER A KNOWLES, both of 6105 Bigelow Commons,Enfield,Connecticut,as Joint Tenants,and with WARRANTY COVENANTS, the land located in Feeding Hills, Hampden 3 3 County, Commonwealth of Massachusetts, known as Lot 9,Katherine Lane,Feedings Hills bounded and described as follows: r The land in Agawam,Hampden County, Massachusetts, being]mown and designated as 4) Lot 9, as shown on a plan of lots entitled"Definitive Plan of Katherine Estates, Agawam, y Massachusetts, Prepared for Princess Realty, Inc., 1235 Springfield Street,Feeding Hills, MA 01030. . . .Scale 1"-80',July, 1989" which plan is recorded with the Hampden County Registry of Deeds in Book of Plans 270, Pages 49,to which plan and the record thereof reference is hereby made for a more particular description. Subject to the following: Order of Conditions issued by the Agawam Conservation Commission dated September 14, 1989 and recorded in Book 7392, Page 99. Special Permit of the Agawam Board of Appeals dated May 22, 1989 and recorded in Book Y 7182,Page 400. Covenant dated February 20, 1990, and recorded in Book 7392, Page 111. .� Storm drainage, water, sewer and access easement to the Town of Agawam under instrument dated January 18, 1990 and recorded in Book 7392,Page 11 Z Easement dated January 26, 1990 and recorded in Book 7392,Page 118. Assignment of Easement rights to the Town of Agawam dated February 15, 1990 and recorded in Book 7392,Page 120. Temporary grading and access easement dated February 13, 1990 and recorded in Book 7392, Page 121. Assignment of Easement rights to the Town of Agawam dated February 15, 1990 and recorded in Book 7392, Page 125. Permanent Underground Utilities and Access easement dated February 13, 1990 and recorded in Book 7392,Page 126. Bk 12477 Rg477 #65474 Assignment of Easement rights to the Town of Agawam dated February 15, 1990 and recorded in Book 7392, Page 130. Order of conditions recorded on October 11, 1990 and noted as Document# 52528 and Performance Agreement and Modification of Performance Agreement recorded in Book 7758, Page 22, and Book 7772,Page 32I, respectively. Notice to Prospective Purchases dated November 8, 1990 and recorded in Book 7585,Page 269. Easement to Western Massachusetts Electric Company and New England Telephone and Telegraph Company under instrument dated March 28, 1991 and recorded in Book 7668,Page 385. The premises herein are taken subject to any conditions which may exist due to materials used during construction or natural phenomena occurring on or about the premises which may adversely affect the health of the occupants. This provision will run with the land. Being the same Premises conveyed to the Grantors herein by deed of Marc A. Yacavone and Theresa R Yacavone recorded in the Hampden County Registry of Deeds on September 29, 2000 in Book 11356, Page. 125. Witness our hands seals this 30th day of July, 20 . i Witness to both Je . Swinehart :.• ti yy J" y_ i 45p 3� Sarah A. Swinehart r ^1 w Cl) _. COMMONWEALTH OF MASSACHUSETTS HAMPDEN, ss. July 30, 2002 Then personally appeared the above named Jeffrey M. Swinehart and Sarah A. Swinehart and acknowledged the foregoing instrument to be their a act and deed before me g m 88 oL 20 m lu Carolyn A. Staples, Notary Public �a 4 � H My Commission Expires: 10/8/04 +tl► t o z CD N M 00NALD E. AVE, REOI'TER # [.� r tIAMPUEN COUNTY REGISTRY OF DEEDS �A R=255.44 ���2000 A-?0 EASEMENT I z 1 \ HpU LOT 11 LOT 7 w � N C QD n tC? 1 6= r] N to N S rl L7 z a LOT 9 1 .60 ACRES G SHED 70 ,�• ''� GARAGE FIRST FLOOR 68,85 GAR. FLOOR 66.95 TOP OF FOUMATION 67.95 68 �A1 EXIST. 66 EXIST PROP. HOUSE 64 GROUND A ���o• .,�� BASEMENT FLOOR 60.6 6� D 6 0 '�, �� � BASE FLOOD ELEVATION 58 S©pj �• PLAN OF ADDITION 58 °may 68 KATHARINE DRIVE CROSS SECTION AGAWAM, MA OWNED BY BRIAN & JENNIFER BENCHMARK ZAN I EWSK TOWN OF AGAWAM DISK #122 ELEV.= 61.19 ��k OF s PAUL q�yG DATE: JANUARY 21 , 2011 SCALE: 1 " = 40' H C No.409$1 PAUL S. SMITH LAND SURVEYING a' 40' 80' 1 a' yAt LAND 319 SHAKER ROAD EAST LONGMEADOW, MA (413) 525 4700 33WO c Alf O10 1.6bul Ell, KIM, ba El ; It ti., 5 rt E! S G7 2x JI Ll t _ r - � ' APPROVED BY' SCALE.' ff '.,: � DRAWN BY DATE' f REVISED D ING NVMIOER / Z w� 14x6 DOA 10 1�11 2�1 ��. 4- -� yx3Px IZCOIJ6"PA06 Nk LALLY Cavrn� PI 60 Vkl �o `t� }C0 tj0 Ab"F, R r-G ram. C. `/lnlAt 0 Prl 0r�AL Old Ulu lj 4 W, (Do ,a A r$ I � ,o 1 14 (_I1 l� qv �/f /1 / 6 11 11 # I1 APPROVED BY: LF;-LD DRAWN BY DATE. REVISED DRZWlNfs NUM$ER Qr Lj wl bl(� For ct�cru PA 1� b wvl /1�4(_II 510 t4 11 TA' lo'`Pa� v Go�c �r w/2DX�o"Co a ar , i 3 f � K Po0R6 C6*1 ,W�s ,� c� ������ 0 �D OXV LVL OJ WWAo �N . . o; . rot WOO--> 10 ... .....,.. .,, `Q 10 SCALE: APPROVED BY: DRAWN BY DATE: REVISED. DRAWtsrr k MBER ' � Z 'Zx o 3-2X 10 FuJS i51 OP 2X IQ PT. rwoo �1� GXG P65r I "x�8" Gar R1 fJC�� uclir Ca,�c,cowr�i / � �� _ ,- :..;� �- L ��>t�,>����; � RED• Pip 6i&,0 c, �p b elf L�IL A['C !► 7 Z`/D 6OX S/GG X DR w�u. 2-2x/a fps i Wyld� �� Ic 2XG AT51Lc G0"POU96D ow"NAW %zX84N6,go/2 9 Wo.c, SILL 2�4 8 N(Imp, Mbf5 PPRoX f fl r-4 � Rsl S, im l `acrid of forr Qm 1 1-e du r +1�t*e b. .b . '� PODS GTZOv�lS rs figured a east caso1odw,ems s a�9 him • �N!� .�/�� ��Ii,f�e ing sizes m h4re ire or ideal$*1 Condition SCALE: . / i� APPROVED my: _ DRAWN BY AW kifthem I is are est rted l tdor to check at] DATE'. REV I$ED -All IIwr:j*4* ;W*UT tO,PM-fiftM3 Ore tO i4&4>Wr wodor t%oft,portil4ifts.end AO:"GOO emdL -Aft esvg4wersd lumber ctfFed is:* x-vvor,Med as r Wrs&'by supplier oR.wwinlc`Nul�e�e 'own of Agawam Planning Board 36 Main Street, Agawam, Massachusetts 01001-1801 TeL 413.726.9737 Fax 413.786-9927 October 17, 2017 Nico Connor 50 Primrose Lane Agawam, MA 01001 Dear Mr. Connor: At its duly called meeting held on October 17, 2017,the Agawam Planning Board voted to approve the site plan entitled "KLC Auto Sales, 1514 Main Street, Agawam MA", dated May 2017, revised 10/11/17 with the condition that comment #3 of the October 12, 2017 Engineering Department comments be addressed and that pavement markings be provided to outline one-way traffic flow on the site. If you have any questions, please contact this office at 726-9737. Sincerely, Mark R. Paleologopoulos, Chairman AGAWAM PLANNING BOARD MRP:prkCn -' Cc: R. Huot, Eng. Dept., Insp. Services, To Jerk, File r. -Y SCANNED 1 �� TOWN OF AGAWAM Department of Public Works 1000 Suffield Street • Agawam,MA 01001 Tel (413) 8210600 • Fax(413) 8210631 Christopher I Golba • Superintendent MEMORANDUM To: Planning CC: File From: Engineering Division Date: October 12,2017 Subject: Site Plan—KLC Auto Sales— 1514 Main Street—SP 613 Per your request,we have reviewed the Site Plan entitled`%LC Auto Sales— 1514 Main,Agawam, MA; Prepared for: KLC Auto Sales, 1514 Main Street, Agawam, MA; Prepared by: Anderson Associates, 375 Walnut Street Ext. Agawam, MA; Scale: 1" = 20'; Revised: 10111/2017," and we have the following comments: 1. Engineering is concerned that during the winter snow plows will push the bumper stops into resource area. Therefore see comment#2. 2. To limit encroachment into the riverfront area,Engineering recommends,but does not require,that a guard rail be installed from the proposed dumpster up to the northeast site of the property line towards Main Street, 3. Please show where the oilfwater separator flow arts. The plan shows the manhole marked as drain which is not allowed. Please confirm it is connected to the sewer (video inspection or dye test if necessary). Notify Engineering when performing inspection. 4. Engineering recommends,but does not require,severad one-way signs on site. Engineering reserves the right to make additional comments as new information is submitted. If you have any questions,please do not hesitate to contact this division. Sincerely, r r Vladimir Cdceres Michelle C. Chase,P.E. Civil Engineer Town Engineer S:WS 613=AUMSALES-1524minz cetloemnOL&c _ Town of Agawam M�. 40Planning Board 36 Main Street, Agawam, Massachusetts 01001-1801 Tel. 413-726.9737 Fax 413-786.9927 May 19, 2017 Nico Connor 50 Primrose Lane Agawam, MA 01001 Dear Mr. Connor: At its duly called meeting held on May 18, 2017, the Agawam Planning Board voted to return your site plan entitled"KLC Auto Sales, 1514 Main Street, Agawam MA"to allow you to address Conservation Commission concerns and professional staff comments. Once you have a revised plan that reflects these matters, your site plan will be placed on the next available Planning Board agenda. If you have any questions, please contact this office at 726-9737. Sincerely, Mark R. Paleologopoulos, Chairman AGAWAM PLANNING BOARD MRP:prk �` Cc: R. Huot, Eng. Dept., Insp. Services, Town Clerk, File ' SCANNED-5�IYD0- FA r+. _ 0 ���ATED MQ-1 Town of Agawam Interoffice Memorandum To: Engineering Dept., Police Dept., Fire Dept., ADA Committee CC: Town Council, Town Clerk From: Planning Board Date: 4/18/17 Subject: Site Plan - KLC Auto Sales - 1514 Main Street Please review and comment on the attached Site Plan for KLC Auto Sales, 1514 Main Street (applying for used car license). This item will appear on the Team Meeting agenda for April 25th and the Planning Board agenda for May 4tn Thank you. -prk FROM THE DESK OF... YOUR NAME TITLE TOWN OF AGAWAM 36 MAIN ST AGAWAM,MA 01001 Email address Here 413-786-0400 X Extension Fax:413-786-9927 N t` Massachusetts Department of Environmental Protection . Bureau of Resource Protection -Wetlands DEP Midumber: WPA Form 8B — Certificate of Compliance $7_ 7 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provide y DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the computer,use Attorney Robert Walker only the tab key Name to move your 146 Elm Street cursor-do not use the return Mailing Address key. Westfield MA 01085 CirylTawn state Zip Code VQ 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Thomas Russo, Jr. Name 10-27-95 87-372 Dated DEP File Number 3. The project site is located at: 14 Keller Circle (lot 1) Agawam Street Address City/Town 14 2121 Assessors MaplPlat Number Paroel[Lot Number the final Order of Condition was recorded at the Registry of Deeds for. Property Owner(if ditrent) ———--- — Hampden-� 9289 233 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, an: Bate SCANNED i� wpatrmSbAce-rev.12123/09 WPA Forrn 8B,Cerfficaha of Compliance•Pagel of 3 ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number. WPA Form 8B -- Certificate of Compliance 87-372 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP B. Certification Check all that apply: ❑ Complete Certification: It is hereby certified that the work regulated by the above-referenced Order of Conditions has been satisfactorily completed. ® Partial Certification: It is hereby certified that only the following portions of work regulated by the above-referenced Order of Conditions have been satisfactorily completed. The project areas or work subject to this partial certification that have been completed and are released from this Order are: 14 Keller Circle(lot 1)-$400.00 holdback may now be released. ❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the above-referenced Order of Conditions never commenced. The Order of Conditions has lapsed and is therefore no longer valid. No future work subject to regulation under the Wetlands Protection Act may commence without filing a new Notice of Intent and receiving a new Order of Conditions. ❑ ongoing Conditions: The following conditions of the Order shall continue: (include any conditions contained in the Final Order, such as maintenance or monitoring, that should continue for a longer period). Condition Numbers: C. Authorization Issued by: Agawam T 7-24-14 Conservation Commission Date of Issuance This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the applicant and appropriate DEP Regional Office(See hftr)://www.mass.gov/der)/about/region/findvour.htm). Signatures: wpafrm8b.doc-rev.12123109 WPA Forth 89,Certificate of Compliance•Peae 2 of 3 ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 87-372 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP D. Recording Confirmation The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of Deeds or the Land Court for the district in which the land is located. Detach on dotted line and submit to the Conservation Commission. Ta: --------------------------------------_-----------------_----------------------------------------•-- Agawam Conservation Commission Please be advised that the Certificate of Compliance for the project at: lot 1 Keller Circle 87-372 Project Location DEP File Number Has been recorded at the Registry of Deeds of- Hampden County for: Property Owner and has been noted in the chain of title of the affected property on: Date Book _ Page mml If recorded land, the instrument number which identifies this transaction is: It registered land,the document number which identifies this transaction is: Document Number Signature of Applicant "akmft.doc-rev.12123M WPA Form BB,Certificate or Compliance PaV 3 of 3 Kel lo- Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1801 Tel. 413-786-0400 Fax 413-786-9927 September 15, 2016 John H. & Julie A. Houle 15 Keller Circle Agawam, MA 01001 t tTI Dear Mr. &Mrs. Houle: At its duly called meeting held on September 15, 2016, the Agawam Planning Board voted to approve your plans under "Subdivision Control Law Not Required" for a parcel of land located on Keller Circle. Plans drawn by Anderson Associates and dated August 24, 2016. Sincerely, AGAWAM P 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 0 100 1. To Agawam Planning Board Please be advised that the Form A plan that was filed by Houle and approved by the Agawam Planning Board for a parcel of land located on Keller Circle. Plan has been recorded at the Hampden County Registry of Deeds. Book , Page Signature of Applicant SCANNED-6-1 r 1/)ellcr C�r TOWN OF AGAWAM, MASSACHUSETTS FORM A Application for Endorsement,of Plan Not Believed to Reguire Approval FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 11-8 20-4z 1 !� TO THE PLANNING BOARD: The undersigned, believing that the accompanying plan of his property in the Town b Agawam does not constitute a subdivision within the meaning of the Subdivision c� Control Law, herewith submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. 1. Name of Applicant A. a3)u-to E Address__/S T- I t.&Q - C(2C L.. - - -- — - r� - —m Phone# 623 -s01- 936_3 Fax# email 2. Name of Surveyor Address '�J - Phone# - Fax# 9 13 ):3rjQj email R, N� F, . rA Q G mq r L. .(Oaf 3. Deed of Property Recorded in �d�� C�1�? to Book Z49 3 2. Page 65 4. Location of Property LE C't C C 5. Describe the proposal in this submission: c- A 1.i\Nt�s TO .be To I-It4 aO&t=,N becAav 4 1iauAR-0o 9iN7MNIe-0o . ATTACHMENTS-Two originals and three copies of plan by certified land surveyor. FiIi ' Fee-$50.00 plus$20.00 per lot. Signature of Owner' Address oioGl •,CANNED ►° '