7079_FORM A- SOUTH STREET- GOTTSCHE #� o� 9
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No.................................... .....JulX....15.............................I9......
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To the Departmental Officer making the Payment:
Received of.............MAKI. D. Ann is,.....P L. S..................... .......,the surd of
......Tklli.rU,.-f ive....and....0 01 00...................... .:. .. Dollars,
forthe...... ...A....F ,ing...F: .......................................ending .............................................................................................................................._for
collections as per schedule of this date,filed in my office
.. .R....... ........................._......
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Treasurer.
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�� 93 TOWN OF AGAWAM
" 36 MAIN STREET AGAWAM, MASSACHUSETTS 01001
yco `•�� Tel. 413-786-0400
PLANNING BOARD
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ca
July 16 , 1998 µ
-4
Edith M. Gottsche
16 South Street
Agawam, MA 01001 �.
G�
Dear Ms . Gottsche
At its duly called meeting held an July 16 , 1998 , the
Agawam Planning Board voted to approve your plans under
"Subdivision Control Law Not Required" for a parcel of land locatee
on South Street Plans drawn by
Mark D. Annis and dated
July 14 , 1998
Sincerely ,
AGAWA N A
,Please be advised that failure to record the Alan 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 .
To : Agawam Planning Board
Please be advised that the Form A plan that was filed by
Gottsche and approved by the Agawam
Planning Board for a parcel of land located on South Street
has been recorded at the Hampden County Registry of Deeds. Bock
# , Page #
Signature of Applicant
� F AGq
o TOWN OF AGA WAM
��• _ ,4` 36 MAIV STREET ACAWAM, �[.:�SSACHL�SETTS 01001
yr Tel. 413-;86-0400
1
o MAC`
MEMO
TO: Building Inspector& Engineering Dept.
FROM: Planning Board
DATE: July 15, 1998
SUBJECT: Form A - South Street - Gottsche
Please review and comment on the attached Form A prior to the Board's July 16th meeting, if
possible.
Thank you.
DSD:prk
�. TOWN OF AGAWAM
36 ' IAIN STREET AGAWAM, MASSACHUSETTS 01001
yro `1� Tel. 413-786-0400
�p�AATED�p�
F 0 R M A
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
t_
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONEr'
COPY WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF
SECTION 11-B
Agawam , MA . 154+1 . 19 �? .
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
wiis not required .
1 . NAME OF APPLICANT. - - : . ` :� . . . . . . . . . . . . . .
Address
2. NAME OF SURVEYOR
Address .p, rA
3. DEED OF PROPERTY RECORDED IN
Book Z*lZal Page
4. LOCATION OF PROPERTY: eta o�
5 . DESCRIBE THE PROPOSAL IN THIS SUBMISSION.
ATTACHEMENTS - TWO ORIGINALS AND TWO COPIES OF PLAN BY CERTIFIED
LAND SURVEYOR.
Signature of wne
Address
1
1
11
LOG 1
Boy -- --
DOGUMENT# 1
PAGE
. - 1
- 1
4 •
t
n/f
William Robinson
Book 9123 Page 168
S70'38'22"E i
10.08'
APPROVAL UNDER THE SUBDIVISION
CONTROL LAW NOT REQUIRED
PLANNING BOARD
AGAWAM, MASSACHUSETTS
CHAIRPERSON: PARCEL A IS LAND OF BETTYE L. & CLEVELAND WEPB
AND IS TO BE COMBINED WITH ADJOINING LAND OF
EDITH M. GOTTSCHE TO FORM ONE UNDIVIDED PARCEL
A
1 , 999 Sq . Ft .
DATE: uL��7��d
a -
lanc o'
Iond of t Edith, M. Gottsch,e
Bettve L. & Cievelond Webb 1 Book 2729, Pace 4g`
Book. 8685, Page 142
;.c: o
l
l '0 iGARAGE `I
0 0
l
i
SUFFICIENT AREA AND FRONTAGE REMAIN TO
St. nSi Y CURRFN'T ZONING REQUIREMENTS
l 4
4
4
s - '
I
i
LOCUS REFERENCE
HAMPDEN COUNTY REGISTRY OF DEEDS 1 �>�. 75.E G'
GRANTEE : EDITH M. GOTTSCHE _ i J
BOOK 2729, PAGE 495 %V.3E•23"w
ASSESSORS MAP K3-2-3
I
SnUTu STDE E T PLAN OF LAND IN
•, r II p, � T 1C�
... t�- A PUBLIC' WAY �1GA '�l1JAM, M kSSC�CH SETTS
PREPARED FOR
SCALE: 1" =20' JULY 14, 1998
20 0 20 40 60 80
I REPORT THAT T-1'� G_A� HAS BEEF: FRE-PAREL LEGEND
IN CONFORV!TY W T�7 T ;L R;-'-ES ANL REGULATIONS OF THE FEET
REGISTERS OF LEEIUS' 0= TH= COMMONWEALTH OF MASSACHUSETTS
DATED JANJARN• 1, 1 G-- C} I.P. FOUNT DARK D. ANNIS P.L.S.
I.P. TO BE SET REGISTERED PROFESSIONAL LAND SURVEYOR
Z. UNMARKED POINT P.O. BOX 324
SOUTHAMPrON, MASS
MARK D. ANNIS PROFESSIONAL LAND SURVEYOR #35384