8700_FORM A - 312 SOUTHWICK STREET.pdf~1(j(J -
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Field Magnetic
November 2012
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LOT 3
26y 460 SO.fT.
N 86"00' 48" E 94.48'
51.25'
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LOT 2
15,774 SO.FT.
100.10'
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I certify that this plan has been prepared in accordance with
the Rules and Regulations of the Registers of Deeds.
~¥;Z;&c-!>
. Professional Land Su~yor
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110.00'
S 81"11'13" f
Now or formerly
JAMES F. WRIGHT
ESTHER Z. WRIGHT
Book 3396, Page 66
135.41' -
LOT 1
21,958 SO.FT.
SOUTHWICK
STREET
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D
LEGEND
Iron Pipe (Found)
Iron Pipe (Set)
Granite Bound (Found)
(RT£. 57)
SOURCE DEED OF PROPERTY
DANIEL O'SUlliVAN
Book 19501,Page 187
Now or Formerly
WILLIAM J. MALONE
ELIZABETH G. MALONE
Book 10233, Page 233
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N 83"30'16" W . 199.75'
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Now or Formerly
GEORGE K WHEELER JR.
NANCY WHEELER
Book 3627, Page 500
S 89"34'45" E 130.18'
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Now or Formerly
MICHAEL J. CECCHI
MICHELLE L. CECCHI
Book 10431, Page 159
Approval Under Subdivision
Conlrol Law Nol Required:
THIS PLANNING BOARD ENDORSEMENT
DOES NOT IMPLY COMPLIANCE WITH
THE MASSACHUSETTS WETLAND
, PROTECTION ACT OR ZONING BY-LAW.
Date;
Agawam, AlA Planning Board
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Land In /h£ ....... n
Agawam, Massaehusetts
Prepared For
DANIEL 0' SULLIVAN
November 13, 2012 Scale: 1" -20'
Survey By;
RICHARD J. LABARGE, Sr., PLS
10 King Street
Northampton, Ma 01060
Scale: 1" = 20'
0' 20' 40' 60'
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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 11-B
ro I -o.s ~ a 013
Agawam, MA V' 2t2 2~
TO THE PLANNING BOARD:
1
The undersigned, believing that the accompanying plan of his property in the Town df
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 -:
Board approval under the Subdivision Control Law is not required. w :-
1. Name of Applicant LlA.yi ~L C? '5'u~L-.1 VA,I/
Address <V?' c7t:?VLdW./d sO-: BbAJ.VAM
2. Name of Surveyor .i?lcttLA1?O c7. M<~ ",,2-
Address »0 ;Z;Vc,c'5Z: ~ .... ~~....o, O/~ 2...
3. Deed of Property Recorded in ~~;?~ -oF AlSh?Of'
Book .... ?<:fZ2/ Page Ld?
4. Location of Property c~ cF <f/J~ t:;i ~,va;:v=~~...s/~
5. Describe the proposal in this submission:
To c..,:2 6;ii9'1;;e-.3 ,.J."e-TJ ot:/Y--or ,,/Y.&"'
O,12/C,/4/A-L "her:-
ATTACHMENTS -Two originals and three copies of plan by certified land
surveyor. Filing Fee -$50.00 plus $20.00 per lot.
Signature ofowner02~ D 3M" Address "-4 :\ooy 'J)(1."
P.da~<\M (VI.q 01,,=\
January 17,2013
Daniel O'Sullivan
64 Joey Drive
Agawam, MA 01001
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1831
. Tel. 413-786-0400 Fax 413-786-9927
':"f,i--': ,-'-" t--r Dear Mr. O'Sullivan: . ~ ':7'
At its duly called meeting held on January 17, 2013, the Agawam Planning Board voted tfJ:' . ;;)
approve your plans under "Subdivision Control Law Not Required" fora parcel of land l~ted -7;
on Southwick StreetJNorth West Street. Plans drawn by Richard LaBarge and dated November,;;
13,2012.
Sincerely,
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 O'Sullivan and approved by the
Agawam Planning Board for a parcel of land located on SouthwickINorth West St. has been
recorded at the Hampden County Registry of Deeds. Book ffi:>=· , Page , :r~
Signature of Applicant ________ --'-___ _
Date: 1/312013
To the Department Officer making the Payment:
Received of Oaniel & Jacolyn O'Sullivan
• the sum of 90.00
as Listed Above
--=O'""o"'II-ars---
for the Form A fee ending 113/2013
for collectk
. Treasurer
~ ... PAL~NT S~Y RECEIPT
Town of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
DATE; 01/03/13 CUSTOMER#: 000000000
TIME; 11:38
CLERK: mac
RECPT#: 835398 PREV SAL:
TP/YR: MS/2013 AMT PAID: 90.00
BILL; ADJSTMNT:
EFF DT: 01/03/13 BAL DUE:
MISCELLANEOUS PAYMENT
-----------------TOTALS-----------------
PRINCIPAL PAID:
INTEREST PAID;
ADJUSTMENTS;
DISC TAKEN:
AMI' TENDERED:
AMI' APPLIED:
CHANGE:
PAID BY: PLANNING
PAYMENT METH; CHECK
PAYMENT REF: 1864
90.00
~ 00
.00
.00
90.00
90.00
.00
MEMO
TO: Building Inspector
FROM: Planning Board
SUBJECT: Form A -SouthwickINorth West Street -O'Sullivan
DATE: January 3, 2013
Please review and comment on the attached Form A prior to the Board's January 17'"' meeting.
Thaukyou.
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