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8376_FORM A - LEONARD ST. - MARTIN $ � 2c� FOYm N Op 10 o /•P. SET Oo o /..P. i o y oo /OL,qAJn)/A-)G ,C3 0.9 PzD •� �� � rt � °c �1r /.5 A/o T �/C C-�Q r0"'1 Ivo d 0a` J BID�RD /�L/ n/ Ors 1�/ //.S�o/ lo,C- .G 4/V.49 1p►N r o,-e c ^Jii2 - v, 4 c�.+�E�D ,C3 Y /Z 3 y 7 7'. �AT Tiy/S ©L i9 n/ ��• 3 Z/ 1Q. G 7 °� �-S !3 E'E"i✓ /q cJL�.S f1s.l,C� 2E"C, CJLAT/4 N,.S ��J/�2/L $� ZO D.S o ,:: Tf,✓C" fz E4�STE� S of .I�E"C�S Of'�ss'� ,.�. �v.ss.q c.�YvsE-TT-s • �o� ROBERT y�s A. R .A. FORESI Associates o -; 1 " FORES4 No.3359i a REGISTERED LAND SURVEYORS ��AL A41D WEST SPR(NGFiELD, MA _ - Town .of Agawam ' 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 41.3-786-0400 Fax 413-786-9927 FORM A 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-B Agawam, MA YL44.-'/ —20or— 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 Contfol Law, herewith submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. N.) V) 1. Name of Applicant � �� (a - J/� y� 4- Address - 2. Name of Surveyor Address 3. Deed of Property Recorded in ZAd4,;-)t;54Z 4: ,/Ml7zY Book 117,_7 Page 4. Location of Property ad;, 5. Describe the proposal in this submission' 4-0 ATTACHMENTS - Two originals and three copies of plan by certified land surveyor. Filing Fe - $35.00. Signature of Owner Address 2G> �,44 '�F i4 Z!a TOWN OF AGAWAM INTEROFFICE May MEMORANDUM ��ATED To: Planning Board CC: File From: Engineering Date: July 7, 2005 Subject: Form-A - #259 - adjacent to 201 Leonard Street - Martin Per your request dated July 5, 2005, I have reviewed the plan entitled, "Plan Division of Land, Agawam, MA; Owned by: Michael G. Martin; Prepared by Ronald R. Huot, June 2005; Scale: 1'=40"'. There is no comment. If you have any questions, please do not hesitate to contact our division. 1; Sincer y, //,Ieo a J. Hoy an, P. Tow Engineer SAFORMA1259 Leonard St-Mar in101.WPB No. July 5 20 05 To the Departmental Officer making the Payment: Received of Michael Martin , the sum of Thirty--five and 00/00 Dollars, for the Form A Fee ending for collections as per schedule of this date, filed in my office. Treasurer, Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 MEMO TO: Building Inspector& Engineering Dept. FROM: Planning Board SUBJECT: Form A - Leonard Street - Martin DATE: July 5, 2005 Please review and comment on the attached Form A for Martin on Leonard Street prior to the Board's July 71h meeting. Thank you. DSD:pre o� 9 Town of Itgawam. h, 36 Main Street Agawam, Massachusetts 01001-1837 Tel. 413-786-0400 Fax 413-786-9927 ATf 0 July 7, 2005 CO c Michael Martin c- 201 Leonard Street Z Agawam, MA 01001 . Dear Mr. Martin: At its duly called meeting held on July 7, 2005, the Agawam Planning Board voted to approve your plans under "Subdivision Control Law Not Required" for a parcel of land located on Leonard Street. Plans drawn by Anderson Associates and dated June 2005. Sincerely, AGAW M PLANNING BOARD Please�eadvised 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 011001. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To Agawam Planning Board Please be advised that the Form A plan that was filed by Martin and approved by the Agawam Planning Board for a parcel of land located on Leonard Street has been recorded at the Hampden County.Registry of Deeds. Book , Page Signature of Applicant