8398_FORM A - N. WESTFIELD ST. - ROSELLI foam f1 ',
R� se�li
MEMO
TO: Building Inspector & Engineering Dept.
FROM: Planning Board
SUBJECT: Form A - North Westfield Street- Roselli
DATE: October 14, 2005
Please review and comment on the attached Form A for Roselli on North Westfield Street prior
to the Board's October 20`' meeting.
Thank you.
DSD:pre
T own .of Agawam
36 ;Main Street Agawam, Massachusetts 01001-1837
Mayes Tel. 41.3-786-0400 Fax 413-786-9927
FORM A
Application for Endor ement 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 u8,
Agawam, MA 20
TO THE PLANNING BOARD: C�'
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 D
Board approval under the Subdivision Control Law is not required.
1. Name of Applicant G m. c4L!_.
Address . 5- .�/(Jo�eTf! �3?'re�� S'j`. --•}��/�14J/4/H, /�d
2. Name of Surveyor D /V 07�
Address f 80 AE:47- Re atm& A? d 774 C) ffa�M JV4,0/017
3. Deed of Property Recorded in �iR100pAE.it1 �v t !�y 24K • �f � •as�
Book Page
4. Location of Property 5t9-S'Ab. �eas7-f?E� .S)'
5. Describe the proposal in this submission: Azopw-Y r-v )3& 'DIVIDED
PWjZe_EL- ro 8 E coJVv-F--Y E tJ 7-0 0)7"6012i
6e"j b If
ATTACHMENTS - Two originals and three copies of plan by certified land
surveyor. Filing Fee - $35.00.
Signature of OwnerZ] Address ,5��/iJo• �CIL°ST +�`� S
No. October 14 20 05
To the Departmental Officer making the Payment:
Received of John K. Somers ,the sum of
Thirty-five and 00/00 Dollars,
Form A Filing Fee
for the ending for
collections as per schedule of this date, filed in my office.
Treasurer,
Town f Agawam'
o
36 Main Street Agawam, Massachusetts 01001-1837
° MPy`1 Tel. 413-786-0400 Fax 413-786-9921
HIED
October 20, 2005 -
M
Frederick & Carol Roselli
585 North Westfield Street
Feeding Hills, MA 01030
Dear Mr. & Mrs. Roselli:
At its duly called meeting held on October 20, 2005, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land located
on North Westfield Street. Plans drawn by John Somers and dated October 12, 2005.
Sincerely,
AGAWAM PLA BOA = _
Please be advised that failure to record the plan in 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 Roselli and approved by the Agawam
Planning Board for a parcel of land located on N. Westfield St. has been recorded at the
Hampden County Registry of Deeds. Book , Page
Signature of Applicant
Pl• 1 o L a
° A91 775
10
co
AY
2.°* °
170
Pf' o clf�L... vv ' ? `c✓8D/ /, rawY N Cl-lxE Ti�nl
CahJ T&d 4- 4A4! AJ Q?" �/
3
115Ws,c L] VIO
0,3
VVV / ,
COA4d/C.^//ry w/rf/ 7,05� '41L.E,5
/4
/101v
,,, 1.h` lof w4p r�Y4C
E�rl,S�'" IS Q I L I.J d T
0
f uA fQ1, ACV
,L
®' ,8o u A/,v X-.* U ,� h'a u s o
0 Z-,oC of A/ P'/ems trb aAIa
0 —r/Z v hJ ��PE .S�•T I%D I9H,SX0-71
f 18 g r7 0 . o Q /� � .
� r� J
K
DATE: 0C r0 gEfL. / 2:, Z.oa.1j. SCALE: 'r
J _ I K. 'SOME
PROFE LAND SURVEYOR
IW "GREAT, PL*AM' R"o • ',Po. , PDX, 14DSS
WEST N"v KA 010