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8583_FORM A SPRINGFIELD - NORRIS ST. MASON 85g 3 Fo rrn A ) nj �n " Mason, ry Patrick S. Nolan Broker/Owner REALTOR" A-1 Nolan Realty Hometown Associates Agawam,Chicopee,Springfield,West Springfield,Westfield Cellular(413)786-5047 Business(413)737-7356 Fax(413)737-6866 Email:c2lalnolan@aol.com - Web Site:www.c2lalnolan.com o. HIGHLAND 5T REET N. 14 -I 1 -Oo F..-- 40.32 } 3 N�F 00 NOTE : ONCE APPROVED, NUM6E.R 1 " ' 14. NORRI5 5TRE.E.T WILL DAVID J. & T, (� RECEIVE A 5PRINGF"IE.LD 5TKF—ET KlMC3ERLY A. �N 12, 335 SF. O(� ADDRESS . ' S p- Z PHtL.L1 P5 A Q04.�,� \ C N .14--11-00E..-- �,� C9 T�p,�p ,� 9 .F 00 Q W. 1 �i--11-OOE -- CD 5. R. Tl-�EP�ERGE O 9.25 .. .48_ 6a3 i ll� CaiO sF I-T, 3T9 5F' NQ (INCLUDING A-l) 0 r I E o IRON PIN EX15TING Z 01 Colin MA50N • 1 RON PIN TO ESE SET �; E=XkSTk NC-, 918-C�3T5 BC..IILDING L(1 U, I DEC K I Planning Board endorsement under the. Subdivision 2'•0 PL # 14- 1� Control Law should not be construed as either an endorsement or an approval of zoning lot area requirements. ; .. Y, 9.25 232.(D0 WE HAVE CONFORMED WITH THE RULES & REGULATIONS 9.25 OF THE REGISTRY OF DEEDS IN PREPARING THIS PLAN. PiOU NORRI5 STREET REVISED DONALD J. 5MITH— 5MITH A550CIATES 5URVEYOR5, INC. OF LO—�—CJ ME) APPROVAL, UNDER THE NOTE PARCEL A-1 (GIO 5F) !SFRINGFI("LD, NOFZRIS, HIGHLAND STREETS 5UBD1V15101'4 CONTROL TQ BECOME. AN INTEGRAL AGAWAM, MA. AWNED BY 5ECUMEPART NEW LOT I3-I� & LAW NOT REQUIRED LOT a AND EDWARD J,, MARY E., DAVID J. I3EC MA50N AGAWAM AND PLANNING 50ARD MIICHAEL J. & DEBORAH A. PHI LLIP5 DONALID GRAPHIC SCALE SCALE: 20 FT/IN: DATE- OCT. 2008 J. SMITH z° ° 10 Zo ,° $°No. 31380 SMITH ASSOCIATES 'ST ��°�� SURVEYORS INC. L LANDS ( IN FEET ) DAT E I inch = 20 fL 165 SHAKER RD., EAST LONGMEADOW, MASS. 01028 To the Department Officer making the Payment: Received of Edward and Mary Mason as Listed Above the sum of 50.00 Dollars for the Form A Filing Fee ending 11/20/2008 for collections as per schedule of this date, filed in my office. /Treasureif A G A W A M P L A N N I N G B 0 A R D 36 Main Street Agawam, Massachusetts 01001 Tel . 413-786-0400 Ext . 245 FORM A Application for Endorsement of„ Plan Believed Not_ 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 Date: ivr1mcm5� y- 17 t z000Y 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. I . NAME OF APPLICANT Address S 1/vG d�Gf3� 2. NAME OF SURVEYOR Address 3. DEED OF PROPERTY RECORDED IN Book 4. LOCATION OF PROPERTY: 5. DESCRIBE THE PROPOSAL IN THIS SUBMISSION: ATTACHMENTS - TWO ORIGINALS AND THREE COPIES OF PLAN BY COTIFtED LAND SURVEYOR. THE PLANS WILL BE DISTRIBUTED AS FOLLOWS. 1 ORIGINAL TO THE TOWN OF AGAWAM ENGINEERING DEPARTMENT, ONE ORIGINAL TO BE RECORDED AT REGISTRY OF DEEDS BY THE APPLICANT, ONE COPY FOR THE ASSESSORS OFFICE, ONE COPY FOR THE PLANNING BOARD OFFICE, AND ONE CERTIFIED COPY FOR THE BUILDING DEPARTMEN r � Signature of Owner �cr. .._c ,y - -Yr-- ` LlL,�� i• Address A G A W A M P L A N N I N G H O A R D 36 Main Street Agawam, Massachusetts 01001 Tel . 413-786--0400 Ext. 245 FORM A Application for Endorsement of Plan Believed Not to Re wire Aggroval FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 11-B Date*. 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 ❑F A P P L I CANTp�/`�i � �� /3zllib f Address 2. NAME OF SURVEYOR Address4 / QdL3�i� 3. DEED OF PROPERTY RECORDED IN �¢14i6-lPDEY" - � o _� 5 Book ? Inale 4. LOCATION OF PROPERTY% c� _k'D S7 f �Yos sT C 5. DESCRIBE THE PROPOSAL IN THIS SUBMISSION: `�' ' ~" A a- ! a►�vt - Ste,r r 7 ATTACHMENTS - TWO ORIGINALS AND THREE COPIES OF PLAN BY CERTIFIED LAND SURVEYOR. THE PLANS WILL BE DISTRIBUTED AS FOLLOWS: 1 ORIGINAL TO THE TOWN OF AGAWAM ENGINEERING DEPARTMENT, ONE ORIGINAL TO BE RECORDED AT REGISTRY OF DEEDS BY THE APPLICANT, ONE COPY FOR THE ASSESSORS OFFICE, ONE COPY FOR THE PLANNING BOARD OFFICE, AND ONE CERTIFIED COPY FOR THE BUILDING DEPART NT. Signature of Owner '' Address f X zl< Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 PLANNING BOARD December 15, 2008 a cx� C . Richard M. Theroux Town Clerk 36 Main Street �- Agawam, MA 01001 Dear Mr. Theroux: Attached is an application for a Form A that was submitted on November 20, 2008 by Edward, Mary and David Mason. The Planning Board did not take action on this plan. The twenty-one (21) day time period for action has lapsed. Sincerely, aa] Travis Ward, Chairman AGAWAM PLANNING BOARD DBH/TW:prk cc: Building Department File Assessors A G A W A M P L A N N I N G B O A R D 36 Main Street Agawam, Massachusetts 01001 Tel . 413-786-0400 Ext . 245 FORM A Application for Endorsement of Plan Believed Not to RequireApproval FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 11-B Date: %`�`�✓ E 1 zo 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 Address SZell-�; �' lA/G I /I� e I la3 2. NAME OF SURVEYOR Address 167S- /' 6.4-a-)L.�S" 3. DEED OF PROPERTY RECORDED IN AorOAZiS BookRim 4. LOCATION OF PROPERTY% m . 5. DESCRIBE THE PROPOSAL IN THIS SUBMISSION: io ATTACHMENTS - TWO ORIGINALS AND THREE COPIES OF PLAN BY C#TIFXED LAND SURVEYOR. THE PLANS WILL BE DISTRIBUTED AS FOLLOWS: 1 ORIGINAL TO THE TOWN OF AGAWAM ENGINEERING DEPARTMENT, ONE ORIGINAL TO BE RECORDED AT REGISTRY OF DEEDS BY THE APPLICANT, ONE COPY FOR THE ASSESSORS OFFICE, ONE COPY FOR THE PLANNING BOARD OFFICE, AND ONE CERTIFIED COPY FOR THE BUILDING DEPARTMEN r ^ - Signature of Owner /f, 'J�� r Addrea !f/�!�1S/ � G / i s 44 4/6 Cf dawn of Agawam '1= 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 December 15, 2008 I HEREBY CERTIFY THAT THE AGAWAM PLANNING BOARD DID NOT TAKE ACTION ON THE ATTACHED "APPROVAL NOT REQUIRED" PLAN FOR EDWARD, MARY AND DAVID MASON FOR PROPERTY LOCATED ON SPRINGFIELD AND NORRIS STREETS WITHIN THE TWENTY-ONE DAY PERIOD, ATTEST: CCU W 1 X Ric and M.�Theroux, Town CIA/