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8759_FORM A - 139 POPLAR STREET.pdf~lSq - Fcf'('{\ A - \ ~~ rapla\' otftlt- Lot No. 18 , N81 '55'oo.W / N / F' Betty Bovo N / F' Rose S82 6'44"e: 257.70' Lot No. lB-l 56,296 s.f. TON 30 , . ~,8 ":1/) "P ~ Lot No. 17 I I J i .... "-z This plo.n does not constitute 0. subdivision therefore o.pprovo.l under the Subdivision Control Lo.w Is not required, Do.tel /jr-k MILL STREET N/F'Jo mes VotzOkls N82'J4' 4S"W 100.00 Lot No. lA 29,176 s.f. 30 . , "'0 ,I/) GO ... . PSt ~-(I) Lot No. 16 28.27' N / F Richter Lot No. 1 Lot No. 2 Lot No.7 Deed Book 16806 Page. 251 SCALE: 1" = 80" DATE: Dec., 2014 GRAPHIC SCALE ( IN FEET ) 1 Inch = 80 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 Fax 413 273-1776 PLAN OF LOTS IN AGAWAM, MA PREPARED FOR: John Rose 133 Poplar Street Agawam, MA NO. DATE: DESCRIPTION This plo.n prepo.red In o.ccordo.nce with the rules o.nd regulo.tlons of the Registry of Deeds, DRAWING NO. , Lot Nc. 18 l:\aI:IpiIIr1eo.nry~o(iltItOs Roc·d~2il1£.ol.KL!1!L..a", """"""",--" .... ~ ... '-"'9.l'l __ .. ,," I/--"R:!> ~ fIIVIIIII " 1Fhltys.... N,FR_ ~ j.<I\ No. .9-1 :;6.29fI. LI. ~DO'''- BURLINGTON Lot No. 17 iIii'~ DR, § f I J i , , ThiS ptCln does not cons1:ltl.lte Do Lr.Oodlyls;1on U..rd'or"lII "PP'"oyo.1 ....,g.r till!' Subdlylslon Contl""t)/ L". 15 noi; r,,~d. Date. klro- "'·7~;' ~u ~ Mill STREET /( I r ........ Vl>bolr", ,'.~" Lot No. 1& i!8 i/C lair N / F Richter lot No.1 ~",. --<'q~ Lot No, 2 " \ t. ~ ....... 0;'\ lot No.7 On.: !:looK 1 &S06 p"gtI. ~1 GRAPIDC SCALE 1A N4OERSON ASSOCIA1E$ LAND SlJfI'\o£'I'OA, LAND PlAHNr«> c(wSUliMll. SITE OESIGli 375 WAUtUT S1REET EXT[HTlON P.O. BOX 3112 AGAWAM, MASSACHUSETTS 01001 T ... 413 52.5-4145 Fax 413 27J-ln& PLAN OF LOTS IN AGAWAM. MA John Rose 133 Poplar Street Agawam, MA "'-_..r j -"!.,. __ ~II ..,,...,..- (.,..,.) 1 .... IKIft. Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 January 16,2015 John Rose 139 Poplar Street Feeding Hills, MA 01030 Dear Mr. Rose: At its duly called meeting held on Januaryl5, 2015, the Agawam Planning Board voted to approve your plans under "Subdivision Control Law Not Required" for a parcel ofland~:; located on Poplar StreetlBurlington Drive. Plans drawn by Anderson Associates and c:;:; dated Dec. 2014. Sincerely, tease ~. advised thai 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 01001. ............................................. , .......................... . To Agawam Planning Board Please be advised that the Form A plan that was filed by Rose and approved by the Agawam Planning Board for a parcel of land located on Poplar StreetlBurlington Drive. South has been recorded at the Hampden County Registry of Deeds. Book ____ , Page ____ _ Signature of Applicant ---------__c_---- Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 January 16,2015 10hnRose 139 Poplar Street Feeding Hills, MA 01030 Dear Mr. Rose: At its duly called meeting held on JanuaryJS, 2015, the Agawam Planning Board voted to approve your plans under "Subdivision Control Law Not Required" for a parcel of land . located on Poplar StreetlBurlington Drive. Plans drawn by Anderson Associates and dated Dec. 2014. Sincerely, AGAW~~ ( / .. . . . lease lie 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 01001. To Agawam Planning Board Please be advised that the Form A plan that was filed by Rose and approved by the Agawam Planning Board for a parcel of land located on Poplar StreetlBurlington Drive. South has been recorded at the Hampden County Registry of Deeds. Book 3' "1..2 Page :1y Signature of Applicant _________ --,-___ _ .Jate: To the Department Officer making the Payment: Received of John R. Rose RC & IC as Listed Above ~D~o"'lIa-rs---, the sum of -=-______________ ..::5~0::.:.0:::0:...._ __ ==:_:__=_ for the .!.F~o!!rm!!..!:A~~::::ee::_ ___ ending 1/612015 for collectic PAYMENT SUMMARY RECEIPT Town of Agawam TOWN HALL 36 MAIN STREET AGAWAM MA 01001 DATE: 01/06/15 CUSTOMER#: 000000000 TIME: 11:22 CLERK: kad RECPT#: 1012114 PREV BAL: TP/YR: MS/2015 AMT PAID; 50.00 BILL; ADJSTMNT; EFF DT: 01/06/15 BAL DUE: MISCELLANEOUS PAYMENT ~ - - - - - - - - - - - - - - --TOTALS - - - - - - - - - - - - - - - - - PRINCIPAL PAID: INTEREST PAID: ADJUSTMENTS: DISC TAKEN: AMT TENDERED: AMT APPLIED: CHANGE: PAID BY: PLANNING PAYMENT METH: CHECK PAYMENT REF! 50.00 .00 .00 .00 50.00 50.00 .00 TOWN OF AGAWAl\L MASSACHUSETTS FORMA Application for Endorsement of Plan Not Believed to Require Approval FILE ONE COMPLETED FORM VIilTH THE PL.ANNING BOARD AND ONE COPY WITH THE TOWN CLER K IN ACCORD.ANC E WITH THE REQUIREMENTS OF SECTION 11·B TO THE PLANNI~JG BOARD The undersigned, believing that the accompanying plan of his property 'rn th e Town of Agawam does not constitute a subdivision w~hin the meaning of the Subdivision Control Law, herewrth submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. 1. 2. 3. 4. 5. Name of Applicant J 0 I-/tJ .?-o. (. Address /3 't roo r l<J fI. s; Phone# 7 "g6' <; /9. 7 Fax # email __ .___...._ Name of Surveyor ANi>c((?.Sc tV Its S aClI'trES Address 375 Yl4"I1I~X S r-, £.x.T. AcP If. >vA.m pv9-) , Phone# 4/3 22.::5-1{/ hrax # VI~ZU-lnJ., emai1_RQ/y..;Fl2.IY14-~ m/}I(..( 0 'l7 DeedofPropertyRecardedin jft1-m!'J){tN Co t.J ., t-1 Eo ok I G? 51 (f) '-Page --,2.._5--,-' __ _ Location ofProperty I H .,j.. B'j PULl"': 51 ' Describelheproposalinthissubruission: (v~ td ~ilo() IP' l:Yj PdI L>411-/tNj) A-~rrt,/,j TtJ 1 :J 4 p~ f'1.. Ii Ii.. '>7' ' () F PhJ!"4,/ 4-/ fr(}~Q" t-1 tf}'!- ATTACHMENTS -Two origina1sand tltree ropiesorplan hy rerln",d land SUlVeyor. Filing Fee· $50.00 pI1IS $2IJ.IIl per lot. Si~1ure ofOwner J"..,k G7".....-... Address 11Y r.rl.A/I. S'" Ii Town of Agawam Interoffice Memorandum To: CC: From: Date: Subject: Erik Wight, Building Inspector Planning Board 1/6/15 Form A -Poplar StreeUBurlington Drive Please review and comment on the attached Form A for prior to the Board's January 15th meeting. Thank you. DSD: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