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8571_BURLINGTON DR. FORMA A SAVONIN MEMO TO: Nick Urbinati, Building Inspector FROM: Planning Board SUBJECT: Form A-Burlington Drive DATE: August 25, 2008 Please review and comment on the attached Form A for property on Burlington Drive prior to the Board's September 4'h meeting. Thank you. DSD:prk Town of Agawam }' 36 Main Street Agawam. Massachusetts 01001-1837 �A�`�� Tel. 413-786-0400 Fax 413-786-9927 � FORM A X 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 11-8 Agawam, MA S 20 OF— 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 " to Address ZZ ,��bcnks- 2. Name of Surveyor _ uc-�' Address CL-2f ?,_+ 2 /., Cc, �iEt� 3. Deed of Property Recorded in Q Book Page 5!8` 4. Location of Property Zy l ,� 5. Describe the proposal in this submission: -fz' (�'C�-- + -# cx,J 4Db 4- -9�Z� ATTACHMENTS -• Two originals and three copies of plan by certified land survey Filin ee - $35.00. Signature of Owner Address 26-rz c�o Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 PLANNING BOARD ' o ry September 22, 2008 r.. W r,; co r� \ Richard M. Theroux Town Clerk r 36 Main Street Agawam, MA 01001 Dear Mr. Theroux: Attached is an application for a Form A that was submitted on August 25, 2008 by Sergey Savonin. The Planning Board did not take action on this plan. The twenty-one (21) day time period for action has lapsed. Sincerely, Travis Ward, Chairman AGAWAM PLANNING BOARD DBH/TW:prk cc: Building Department File Assessors Town . of Agawam ' 36 .tiMa1a Street Agawam, Massachusetts 01001-1837 Tel. 41.3-786-0400 Fax 413-786-9927 � r :t Uri FORM A Application for Endorsement of Plan Not Believed to Require A �roval M.) r FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY WITH ,- THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 11-B Agawam, MA d- 20 07- 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 . �r Address _ 2. Name of Surveyor � , Gti, _ Addressi.3�L(Ozd,�;�2-c, Z,-, 3. Deed of Property Recorded in 4 lr4ell ILTV45-1 Book f Page 4. Location of Property 2y 5. Describe the proposal in this submission: A ILIt ,jt 4 JQo'A ATTACHMENTS - Two originals and three copies of plan by certified land survey, Filin ee - $35.00. Signature of Owner . Address ���-� S dw � G{O"Ci Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 September 22, 2008 I HEREBY CERTIFY THAT THE AGAWAM PLANNING BOARD DID NOT TAKE ACTION ON THE ATTACHED "APPROVAL NOT REQUIRED" PLAN FOR SERGEY SAVONIN FOR PROPERTY LOCATED ON BURLINGTON DRIVE AND WEST VIEW LANE WITHIN THE TWENTY-ONE DAY PERIOD. ATTEST: Richard M. Theroux, Town Clerk 0 vs �, N ' 1. �.• Cn Date: ---67251 08 To the Department Officer making the Payment: Received of Dzhenzherukha as Listed Above the sum of 35.00 Dollars for the Form A Firing Fees ending 8/25/2008 for collections as per schedule of this date,filed in my office. . Tre urea N G T N fl R ! N81-58'op,,W 218.1J o - 126.97' N 00 F o ad 0)i Lot No. 17 25,323 s.f. f x � � rn 00 Residence j #24 t2,78_ E°sement 3 Parcel 17A f S82° 1, 5. 3' 141 s.f. � ! DroinQ o Lot No. 16 37 3p E / �f 9e `f �osgmant a 70.070 63.72. f Lot 2A o Nf 63.72 S °300•E S82 37'3p„ 00 N Mjf a © w J\ Zoc11 Deck 0 O � 88.39- Ln Residence Lot 3A-1 # 43 24,396 s.f. Note: Parcel 17A to become part of lot 17 and N contain 25,464 s.f. of land. o I �y 4 173.96 GRAPHIC SCALE S87°08'41'oW 30 o 15 30 so 120 This plan prepared in accordance ;� 9 ,e 4 ( IN FEET j with the rules and regulations of N the Registry of Deeds. �;w; E S T V E L A 1 inch 30 ft. `` W Do.te1 3 l BUR I �, � TON ESTATES PLAN OF PROPERTY IN DRAWN BY: This plan does not constitute a n � n 1 n J /� � n ' � n subdivision therefore a rova( A A 1I V A i V I A DRAWING under the Subdivision Control OF Law is not required. Owner: Sergey Savonin Date: 24 Burlington Drive Agawam Planning Board Agawam , M A ANDERS❑N ASS❑CIATES 375 WALNUT STREET EXT, P.O. BOX 382 AGAWAM, MA 01001 Land Surveyor Land Planning Consultant NO. DATE DESCRIPTION BY SCALE:1 " = 30' DATE: June, 2008 7 t*"% 02. 1 . L44