8778_FORM A - 573 AND 669 MILL STREET.pdf~11'6 -
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To the Department Officer making the Payment:
Received of DinoialGriffin as Listed Above
Dollars the sum of 50.00 ~~~~~--~--------~~--~~~ for the Form A Filing Fee ending 9/24/2015
for collectic
Treasurer
•
PAYMENT SUMMARY RECEIPT
Town of Agawam
TOWN HALL
36 MAIN STREET
AGAWAM MA 01001
DATE: 09/24/15 CUSTOMER#: 000000000
TIME: 09:15
CLERK: mac
RECPT# : 1084638 PREY BAL:
TP/YR: MS/2016 AMT PAID: 50.00
BILL: ADJSTMNT;
EFF DT: 09/24/15 BAL DUE:
MISCELLANEOUS PAYMENT
-----------------TOTALS-----------------
PRINCIPAL PAID:
INTEREST PAID:
ADJUSTMENTS:
DISC TAKEN:
AMT TENDERED:
AMT APPLIED:
CHANGE:
PAID BY: PLANNING
PAYMENT METH: MULTIPLE
PAYMENT REF:
50.00
.00
.00
.00
50.00
50.00
.00
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Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1801
October 1,2015
Katherine Griffin
673 Mill Street
Feeding Hills, MA 01030
Dear Ms. Griffin:
Tel. 413-786-0400 Fax 413-786-9927
At its duly called meeting held on October 1,2015, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land located
on Mill Street. Plans drawn by R. A. Foresi Associates and dated July 15, 2015.
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 01001.
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Griffin and approved by the Agawam
Planning Board for a parcel of land located on 31:l:;;et. Plan has b)'m~forded at the
Hampden County Registry of e.e~s. Book , Page !:J 2L .
. . //1 /1/1
SIgnature of Apphcant -----''I'''''' f.J!0u.' ..... ' <4f'''',''----------
/i; "
[. I
TOWN OF AGAVVAM
36 YIA.I:--i STREET AGA W.-\..\l. .\L-\.SS.-\.CHl'SETTS 01001
Tel. 413-":'il6-0.;OO
FORMA
Application for Endorsement of Plan Not Believed to Require Approval
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COpy WITH
THE TO\X/N CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTiON 11-8
Agawam, MA ___ 7.L..--_ 2-/
TO THE PLANNING BOARD:
The undersigned, believing that the acco~panying plan of his property in the Town of
Age.vam doe, not comtitute a lubdivisie'"! within the meaning of the SelJa/'Jision
Cor-'.rci Law, herewith ,ub~its said plan for 2 determinc;~ion and endorsemenT that
Flanning Board ap!=TOv21 under the Subd'visicn Control Law is not required. "" =
i'iar.1E' of Aicq:'ccnt ___ 1::'< ;. t, c'~ j;>~_GLf'£',~ __ .-____ u__ ~
.~ddre;l <073.1. tI Sir .. " f 6r.·.x.l'1 II' lLr-;--i1A %';io
2. Name of Surveyor R., A. EO !S..E"'sL.A 50 > 0 c: \ &l E:' ')
Address __ --<1.1,\ \LlI'-----'E~I.,"""M'-"-_'S"""__T_'__'&."'_"S""_'STS'_' __ _y_-=c...J=-.:... _S=..!r-,F_-..::,-",j)~. ___ _
J
cO
Deed of Property Recorded in I± ........ ,P~ CO. '-.D ........ _h ___ ·'-:'-~
80c< (.05'<::1 Page I ''is' t
Location of ProrX'rtv ___ .s..~_~c.:l3. /l1''-L..._.S.-::r::~ __
5, Describe the proposal in this submi;sion:
U""lV'y z..~ c..Sl.. S r fH"" #0(..(.'1 ~ ~7J
AlTACHMENTS -Two originals and three copies of plan by certified land
surveyor. Filing Fee -$35.00,
Signa:JfeofOwner ~~ ~dress £67 m,L" -rr
~~ 1;> 0 ' . t<"<;'llc't!j H,I/S 0/1)30
Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1801
October 1, 2015
Katherine Griffin
673 Mill Street
Feeding Hills, MA 01030
Dear Ms. Griffin:
Tel. 413-786-0400 Fax 413-786-9927
At its duly called meeting held on October 1,2015, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land located
on Mill Street. Plans drawn by R. A. Foresi Associates and dated July 15, 2015.
Sincerely,
1-.
T 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 01001.
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Griffin and approved by the Agawam
Planning Board for a parcel of land located on Mill Street. Plan has been recorded at the
Hampden County Registry of Deeds. Book , Page ____ _
Signature of Applicant ______________ _
Town of Agawam
Interoffice Memorandum
To:
CC:
From:
Date:
Subject:
Erik Wight, Building Inspector
Planning Department
9/24/15
Form A -Mill Street -Griffin
Please review and comment on the attached Form A for Griffin on Mill Street prior to
the Board's October 151 meeting.
Thank you.
MS: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
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R.A. FORESI Associates
REGISTERED LAND SURVEYORS
WEST SPRINGFIELD, MA
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