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T O- "n -of Agawam
" 36 Main Street Agawam, Massachusetts 01001-1837
~ Tel.. 41.3-786-0400 Fax 413-786-9927
FORM A
Application for Endorsement.Qf 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 REQUIREM$ff., F SECTION 114
Agawam, MA o Z.7 20 0 L
f t,.,.fir _
TO THE PLANNING BOARD: c.n. "
The undersigned, believing that the accompanying plan of his tie
Agawam does not constitute a subdivision within the meaning! ` ivision Control
Law, herewith submits said plan for a determination and endorsement that Planning
Board approval under the Subdivision Control Law is notrequired.
1. Name of Applicant 1 t i ` UJ j 6*ttt
Addresslqq
Ci
2. Name of Surveyor
Address guy; ,: .� J�LJ ST.
089
3. Deed of Property Recorded in t4�,..v c-. , , e_ _S
Book Lt 3 110 Page 3`-( o
4. Location of Property_ Ig,[-t� a �i7 T
5. Describe the proposal in this submission:� • .bt `�e'
ATTACHMENTS - Two originals and three copies of plan by certified land
s eyor. Filing Fee - $35.00.
ne Signature of Ow &_%"cldress
61 �l�
r
Town of Agawam
1f' �
36 Main Street Agawam, Massachusetts 01€ 01-1837
Tel. 41.3-786-0400 Fax 413-786.9927
MEMO Z7
TO: Buildt4pector&Engineering Dept.
FROM: Planning Board -
A
DATE: December 4, 2002 m
U.j
CT7 r
SUBJECT: Form A- Elm Street-Wingard
Please review and comment on the attached Form A prior to the Board's December 5'4 meeting.
Thank you.
DSD:pre /�-
-CS '
T o- w. f Agawam
r �
36 Main yStrec.eat Agawam, Masnehusetts 01001-1837
Tel. 41.3-786-0400 Fax 413-786-9927
FORM A C=
Application for Endorsgrnent of Plan Not Believed a uire Ap&mvu
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY-, XIIEM
THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREME
w
Agawam, MA Roiv' :.7-'7 2Q O
TO THE PLANNING BOARD: do
i.
The undersigned, believing that the accompanying plan of his j the Tvw. Qf
Agawam does not constitute a subdivision within the meanin *06-
g ivisiori Control
Law, herewith submits said plan for a determination and endorsement that Planning
Board approval under the Subdivision Control Law is notrequired.
1. Name of Applicant 1 r I ` Uj -
Address �, � � =- 018aJ
2. Name of Surveyor
Address
3. Deed of Property Recorded in C, �-s
Book L{3 -i s Page 3 4 o
4. Location of Property I -1-7 0 1 T-
5. Describe the proposal in this submission:
Ike-- 10,C4� P� �r11-� z �Q�s
ATTACHMENTS - Two originals and three copies of plan by certified land
s eyor. Piling Fee - $35.00.
Signature of Owne - ddress [�V�l
Town of Agawam
36Main St1,"t Agawam, Massachusetts 01001-1837
a
TeL 443-786-0400 Fax 413-786-9927
MEMO
TO: Building Inspector&Engineering Dept.
FROM: Planning Board
DATE: December 4,2002
SUBJECT: Form A-Elm Street- Wingard
Please review and comment on the attached Form A prior to the Board's December 5"meeting.
Thank you.
DSD:pre
No. Dec. 3 zp 02
To the Departmental Officer making the Payment:
Received of Corinne Wingard the sum of
Thirty-five and 00/00 Dolls,
for the Form A Filing Fee ending for
collections as per schedule of this date, filed in my office.
Treasurer,
Town of Agawam
t• 36 Main S ti-eet Agawam, Massachusetts 01001-1837
Tel. 4:13-786-0400 Fax 413-786-9927
December 5, 2002
Corinne M. Wingard
194 Elm Street
Agawam, MA 01001
Dear Ms. Wingard:
At its duly called meeting held on December 5, 2002, the Agawam Planning Board voted to
approve your plans under"Subdivision Control Law Not Required" for a parcel of land located
on Elm Street. Plans drawn by R.A. Foresi Associates and dated Nov. 27, 2002.
Sincerely,
AGAWAM PLANNING BOARD
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 011001.
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Wingard and approved by the Agawam
Planning Board for a parcel of land located on Elm Street has been recorded at the Hampden
County Registry of Deeds. Book , Page
Signature of Applicant
Town :of Agawam
36 Maiu S t3°eet Agawam, Massachusetts 01001-1837
Te). 4:13-786-0400 Fax 413-786-9927
January 2, 2003
Corinne M. Wingard
194 Elm Street
Agawam, MA 01001
Dear Ms. Wingard:
At its duly called meeting held on January 2, 2003, the Agawam Planning Board voted to
approve your plans under"Subdivision Control Law Not Required" for a parcel of land located
on EIm Street. Plans drawn by R.A. Foresi Associates and dated Nov. 27, 2002.
Sincerely,
AGAWAM PL G BOARD
C7
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 011001.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
To Agawam Planning Board
Please be advised that the Form A plan that was filed by Wingard and approved by the Agawam
Planning Board for a parcel of land located on Elm Street has been recorded at the Hampden
County Registry of Deeds. Book , Page
Signature of Applicant-- -- _-
COMMONWEALTH OF MASSACHUSETTS
HAMPDEN COUNTY REGISTRY OF DEEDS
DONALD E. ASHE
REGISTER OF DEEDS
PLAN DEPARTMENT
PLAN RECORDING RECEIPT
DATE: _( , ,I� , SOU -3 CHECK NUMBER:
BOOK: 3Po'PAGE: Q _ CASH:, /
$10.00 120.00 $30.00
S16.00. $20.00 :,V6.00
$25.00 $20.00 S43:00
TOTAL CHARGE; S. . 0
AGENCYICONWANY: �1��III ICJ r n, Q PHONE.-
STREET ADDRESS:
CITY: STATE:
AUTHORIZE BY (PRmT):
SIGNATURE:.-
go STATE STREET
SPRINGFIEI,D,MASSACHUSETTS 01103
PHONE: (413) 755••1722 FAX: (413) 731-8190
hnVden #ec.state.nwus