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Town of Agawam
Interoffice Memorandum
To:
CC:
From:
Date:
Subject:
Erik Wight, Building Inspector
Planning Board
1/13/15
Form A -Cottonwood Lane -Dahdah
---
Please review and comment on the attached Form A for Dahdah on Cottonwood Lane
prior to this Thursday's meeting (1/15/15).
Thank you.
DSD:prk
FROM THE DESK OF ...
YOUR NAME
TITLE
TOWN OF AGAWAM
36 MAIN ST
AGAWAM, MA 01 001
Email address Here
413-786-0400 X Extension
Fax: 413-786-9927
TOWN OF AGAWAM, MASSACHUSETTS
FORMA
....... !',
Application for Endorsement of Plan Not Believed to Require Appro\@!
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COpy
WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF
SECTION 11-B --=c ~ 20 ''1 ------------------' N
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.
1. Name of Applicant tevlZ-T .::r 1> A 1-1-D ~ H -----------------------------------------
Address "2-(, Co TT OJV lJo.IOo'D '-"tv -,q 6',q ~ .....,
Phone # Fax # email -------------------------------
2. Name of Surveyor OS IV'! J 1"'H A:s sec . S~/c::1f1.-'S I -:J:N"L
Address 4 c.. ~ "P.>~ '-1>w ,~ ~ T . ~. (...o......-G f"'\ e'")Q ~ ~
Phone # ~S· eeol Fax # ___________ email ______________ _
3. Deed of Property Recorded in f{~""'~b"'IV Co~ ~4e:» ,~,. "1 0'" Oc-e't> ~
Book «~'1"" Page S"'-1~ E:*~0
4. Location of Property ... (<0 + -t:fr'2k Co""~()01:) f./1...J. ~~~"!.~ ,:1--fIG,"
5. Describe the proposal in this submission:
'PA1U,-6l.. -L"2.. 'S "'R> ~e CON VI:-'1t::-o ~
f)IQ 1-1 1.) JfJ 1-1 -to rt:sf'Z-M ~~ -p,<:J {Z-'-t;.'1:, s ""'2.oA
ATTACHMENTS -Two originals and three copies of plan by certified land
surveyor. Filing Fee -$50.00 plus $20.00 per lot.
Signature of Owner Pf ~~ Address
JAN 13 Z015
AGAWAJrIt
PLANNING SOARD
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
January 16, 2015
Kurt Dahdah
26 Cottonwood Lane
Agawam, MA 01001
Tel. 413~786-0400 Fax 413-786-9927
Dear Mr. Dahdah: -~
At its duly called meeti~g held on Januaryl5, 2015, the Agawam Planning Board.!oted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land'
located on Cottonwood Lane. Plans drawn by Smith Associates Surveyors, Inc. and
dated 12-03-14.
Sincerely,
ase be a vised that failure to record the plan within six (6) months and provide
proof 0/ recording will negate the action 0/ 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 thatwas filed by Dahdah and approved by the
Agawam Planning Board for a parcel of land located on Cottonwood Lane. South has
been recorded at the Hampden County Registry of Deeds. Book , Page
Signature of Applicant _____________ _
Date: 1/13/2015
To the Department Officer making the Payment:
... Received of Smith Associates Surveyors, Inc. as Listed Above
the sum of 50.00 --::D~o-::"a-rs---
for the Form A fee ending 1/13/2015
for collectic
treasurer
PAYMENT SUMMARY RECEIPT
• Town of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
DATE: 01/l3/15 CUSTOMER#: 000000000
TIME: 14:44
CLERK: mac
RECPT#: 1013331 PREV BAL:
TP/YR: MS/2015 AMT PAID: 50.00
BILL: ADJSTMNT:
EFF DT: 01/13/15 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: 17575
50.00
.00
.00
.00
50.00
50.00
.00
NOTE.:
PARCEL 2'2.1) (1(0,04-1' ·Sf.) fROM
SHEEHAN TODAHDAH
Planning Board endorsement under the Subdivision
Control Law should not be construed as eIther lin .
endorsement or an approval of zoning lot area
requirements.
%
V.5TEMPEL
WE HAVE CONFORMED WITH THE RULES 8cREGULATIONS
OF T~R:$TRY. OF. DEEDS IN PREPARING rHIS PLAN.
G.r= -I -,..{,. (,1.1
MIC.HAEL D. 5MITH--SMITH A550CIATES 5UR\lEYORS, INC.
APPROVAL UNDE R THE
SUBDIVISION CONTROL
LAW' NOT REQUIRED
AGAWA'M
PlANNIN§ AOARD '#~"'I?
DATt=:
~ %-
A.LAW~ON T. RODERTS
122:81 \, .... ,..... -9 '" ".... N U\
£ .
NEW £I~ I O' _ Ifl (§) '--'I')
o.!J -• . '-../ rn ~ 38,59i SF.
0.89 AC.
N . .?.::.!..~.±s> F..-----0 @ 1\0,(00
,.-. , -DAHDAH I I!WJ " ...
)' 19499/54~
tJ\ III -4-. ~ I ,--<;> rn ,... r-1 ,..
N to 01 N ro I
--t , dl~ N 0'11":' ~I~ EX.I~TING 0(0
"Z. '-' HOU5!;£ 10
~
COTTONWOOD
GRAPHIC SCALE·
40 • • 2. 40 ... ~ I I I
( IN FEET)
1 inch = 40 It.
%
8. MCLAUGHLIN
NEW
®
41, lei SF.
/.oe AC.
SHEEHAN
1321j7(P
881'0/'"
LANE
160
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A.,ASSELIN
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B. JANTONE;LLl5
PLAN· OF' LAND
I~~ Z<o coTTONWOOD LANE
AGA\AfAM, MASS.
OWNED BY
KEVINC. &. MARY C. 5HEEHAN
AND
KURT J. DAHDAH·
4OFTII~: Diue:1 '1.-03-14-.
SMITH ASS S·
SURVEYORS, INC.
46B ~ALoWIN ST ... EAS-, LONGMEADOW. MA 0:028(413) 525-8801 vwwV.SMITHASS()CIATESSliRvEYORS;COM.