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Porcel B
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This plCln does not constltlUte cl
subdivision therefore ClpprovCll
under the Subdivision Control
LClw is not required.
DATE: November 2012
GRAPHIC SCALE ,. 30 60 120
I ! I I
( IN FEET)
1 inch = 30 ft.
ANDERSON ASSOCIATES
LAND SURVEYOR, LAND
PLANNING CONSULTANT,
SITE DESIGN
375 WALNUT STREET EXTENTION
P.O. BOX 382
AGAWAM, MASSACHUSETTS 01001
Tel. 413 525-4145
Fox 413 273-1776
PLAN OF PROPERTY
IN AGAWAM, MA
PREPARED FOR:
Marjorie Colli
62 Maple Street
Agawam, MA
NO. DATE DESCRIPTION
This plCln prepClred In ClccordClnce
with the rules Clnd regulCl tions of
the Registry of Deeds.
DCltel
DRAWING NO.
Town of Agawam
36 Main Street Agawam, Massachusetts 01i)01-1837
November 15, 2012
Marjorie Colli
62 Maple Street
Agawam, MA 01 00 I
Dear Ms. Colli: .
Tel. 413-786-0400 Fax 413-786-9927
At its duly called meeting held on November 15, 2012, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law NO.t Required" for a parcel of land located
on Maple Street. Plans drawn by Anderson Associates. and dated November 2012.
Sincerely,
AGA WAM':..:P~L~~:>,
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 ondottedline and return to the Agawam
Planning Board, 36 Main Street, Agawam, MA 011 001.'
' .......................................................................... .
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Colli and approved by the Agawam
Planning Board fora parcel ofland located on Maple Street has been recorded at the Hampden
County Registry of Deeds. Book , Page ____ _
Signature of Applicant _---,-___________ _
-~-~
To the Department Officer making the Payment:
Received of Ruslan Kuzmenko
the sum of ~_~~ ____ ~~ _____ ~5~0~.0~O~_~~~~
for the Form A fee ending 11/13/2012
for collecti<
Date: 11/13/2012
as Listed Above
-=D'""o""lI-ars---
Treasurer
PAYMENT SUMMARY RECEIPT
Town of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
DATE; 11/13/12 CUSTOMER#: 000000000
TIME: 14; 10
CLERK: kad
RECPT#: 832719 PREVBAL;
TP/YR: MS/2013 AMT PAID: 50.00
BILL: ADJSTMNT:
EFF DT: 11/13/12 BAL DUE:
MISCELLANEOUS PAYMENT
-----------------TOTALS-----------------
PRINCIPAL PAID:
INTEREST PAID;
ADJUSTMENTS:
DISC TAKEN:
AMI' TENDERED:
AMI' APPLIED:
CHANGE:
I?-AID BY: PI..J!,NNING
PAYMENT METH: CHECK
PAYMENT REF:
50.00
.00,
. 00
. 00
50.00
50.00
.00
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
. Tel. 413-786-0400 Fax 413-786-9927
MEMO
TO; Nick Urbinati, Building Inspector·
FROM; . Planning Board
SUBJECT; Form A -Maple Street -Colli
DATE: . November 13,2012 .
Please review and comment on the attached Form A for Colli on Maple Street prior to this
week's Planning Board meeting (Nov. 15th).
Thank you.
DSD;prk
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
Tel. 413-786-0400 Fax 413-786-9927
FORMA
Application for Endorsement of Plan Not Believed 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 ll-B
Agawam. MA _......1.N--""'O.!Lv.!... _Cf'--_--'20 ~
TO THE PLANNING BOARD:
.-
The undersigned. believing that the accompanying plan of his property in the Town ~
Agawam does not constitute a subdivision within the meaning of the Subdivision Co~1
Law, herewith submits said plan for a determination and endorsement that Planning .G. -Board approval under the Subdivision Control Law is not required. c..;l
1.
2.
3.
4.
5.
Name of Applicant t11MLJe A..lfi GbLlI
Address h 2-111 1'1 flU S71lfl/rt
Name of Surveyor BNj:£(L(ov ASSn cwl7',t{C
Address '37.>-y..It9k/V1J1 ~:J, ~1 f1f9 AUlA-WI mil. 7
Deed of Property Recorded in lM IIIIRila"J COCA off
Book 28/S-Page _-'-/'2.8-='-----__
Location of Property Pl-(lf4 c;,..} AlM .. 7'ti S( De .. e>P mil fl LE-.> 7'.
Describe the proposal in this submission: 7iJ 1)?V1U Ii.. It {11fLc-e.1
(oVl.Vl-€l..f WI f VJ Y/-~ Jv1 <-e..."t-P,1R.l.cL
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ATTACHMENTS -Two originals and three copies of plan by certified land
surveyor. Filing Fee -$50.00 plus $20.00 per lot.
Signature of owne~tY'?~~" Address 6J.-2?' ~a. » ~;..;;n.) mCL .. 0/001