8244_FORM A - NORTH WEST ST. - FARNSWORTH - BK. 12853 PG. 565 N West st
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TOWN OF AGAWAM
p: or 36 MAIN STREET AGAWAM, MASSACHUSETTS 01001
Tel. 413-786-0"
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F O R M A
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
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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..
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. .G�. . . . .�`:. . -: . . .. r . . . . . . . . . . . . . . . . .
Address r okr SZ"'a c� rr7
2. NAME OF SURVEYOR P•!r gj?, a _SS [r T o�g�� ►�.� l uvi�•
Address_ zjQ zjj i_ct!gA s _ �Te-as . Zo 01 d17W
3. DEED OF PROPERTY RECORDED IN j�A tWJ �0Uty7-Y -�
Book Page gJ S
4. LOCATION OF PROPERTY: T S t� 13t= Np ACt9 -WfJ % S7,
4,,,J,D A- 6C Y OF K14&rZN IZR
5. DESCRIBE THE PROPOSAL- IN THIS SUBMISSION.
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ATTACHEMENTS - TWO ORIGINALS AND TWO COPIES OF PLAN BY CERTIFIED
LAND SURVEYOR.
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Signature of Own2� of
Address
TOWN OF AGAWAM
MEMORANDUM
MP
To: Planning Board
CC: File
From: Engineering
Date: December 30, 2002
Subject: Form A 265 North West Street -F 217
Per your request dated December 30, 2002, we have reviewed the plan entitled, "Plan of Property
in Agawam, MA; For: Linda L. Farnsworth, 263 North West Street, Feeding Hills, MA; By:
Anderson Associates, 1130 Williams Street, Longmeadow,MA 01106; Scale 1"=100'; Date:
December 27, 2002; Signed by Ronald R Huot". The previous comments were addressed and we
have no other comments at this time.
If you have any questions, please contact our division.
Sincerely,
/4ames Daley,P.E. Adam Chase, E.I.T.
wn Engineer Civil Engineer I
h:lengineerlf6rma1217102.wpd
MEMO
TO: Engineering Department
FROM: Planning Board
DATE: December 30, 2002
SUBJECT: Revised Form A-North West Street - Farnsworth
Please review and comment on the attached revised Form A for Farnsworth on North West
Street as soon as possible.
Thank you.
:pre
TOWN OF AGAWAM
MEMORANDUM ,
�U MA
To: Planning Board
CC: File G`(
From: Engineering �U
Date: December 26, 2002 ���
Subject: Form A 265 North West Street -F 217 U
Per your request dated December 20, 2002,we have reviewed the plan entitled, "Plan of Property
in Agawam, MA; For: Linda L. Farnsworth, 265 North West Street,Feeding Hills,MA; By:
Anderson Associates, 1130 Williams Street, Longmeadow, MA 01106; Scale V=100; Date:
December 18, 2002; Signed by Ronald R Huot", and we have the following comments:
1. Our records show that the applicants address is 263 North West Street please make the
correct changes.
2. Indicate on the plan the purpose of each new lot formed.
3. Show house number 263 for lot number 2 on the plan. Our records indicate that lot
number 1 will become house number 307, and lot number 3 will be house number 285 at center of
available frontage.
4. The zone line of parcels should be shown.
If you have any questions,please contact our division.
Sincerely,
J
James Daley, P.E. Adam Chase, E.I.T.
Town Engineer Civil Engineer I
h:lengineerlf6rma1217101.wpd
No. December 24 20 02
To the Departmental Officer making the Payment:
Received of Farnsworth ,the sum of
Thirty-five and 00/00 Dollars,
for the Form A Filing Fee ending for
collections as per schedule of this date, filed in my office.
Treasurer,
MEMO
TO: Building Inspector&Engineering Department
FROM: Planning Board
DATE: December 20, 2002
SUBJECT: Form A -North West Street -Farnsworth
Please review and comment on the attached Force A for Farnsworth on North West Street as
soon as possible. Thank you.
DSD:pre
Town of Agawam
i
36 Nfai.n fitr+et Agawam, Massachusetts 01001-1837
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Tel. :i 3-786-0400 Fax 413-786-9927
MEMO
TO: Building Inspector&Engineering Department
FROM: Planning Board
DATE: December 20, 2002
SUBJECT: Form A -North West Street- Farnsworth
Please review and comment on the attached Form A for Farnsworth on North West Street as
soon as possible. Thank you.
DSD:pre
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Town of Agawam
36 I.Wa n Sti-eet Agawam, Massachusetts 01001-1837
A►FD �� Tel. 4:1.3-786-4440 Fax 413-786-9927
January 2, 2003
Linda L. Farnsworth
265 North West Street
Feeding Hills, MA 01030
Dear Ms. Farnsworth:
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 North West Street. Plans drawn by Anderson Associates and dated Dec., 2002. C
Sincerely,
AGAWAM PLANNIN BOARD
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WJ
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 Forth A plan that was filed by Farnsworth and approved by the
Agawam Planning Board for a parcel of land located on North West Street has been recorded at
the Hampden County Registry of Deeds. Book , Page
Signature of Applicant
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