8111_FORM A- SOUTH WEST ST. - JESERSKI � II1
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Weser-ski
Town of Agawam
� 36 Main Street Agawam, Massachusetts 01001-1837
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June 8, 2000 M
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Frederick Jeserski
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627 South West Street r'
Feeding Hills, MA 01030
Dear Mr. Jeserski:
At its duly called meeting held on June 8, 2000, the Agawam Planning Board voted to approve
your plans under "Subdivision Control Law Not Required" for a parcel of land located on South
West Street. Plans drawn by D.L. Bean, Inc. and dated May 26, 2000.
Sincerely,
AG L B
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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 Jeserski and approved by the Agawam
Planning Board for a parcel of land located on South West Street has been recorded at the
Hampden County Registry of Deeds. Book , Page
Signature of Applicant
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TOWN OF AGAWAM
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INTEROFFICE
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MEMORANDUM
To: Planning Board
CC: MCC, File
From: Engineering
Date: June 1, 2000
Subject: Form-A - #181 - South West Street - Jeserski
Per your request dated, May 30, 2000, we have reviewed the plan entitled, "Division of
Property, Agawam, Massachusetts; For: (owner) Frederick M. Jeserski, 627 South West
Street. Feeding Hills, MA; By: D.L. Bean, Inc. Westfield, MA; Scale: 1" = 40"' and we
have no comments at this time.
If you have any questions, please do not hesitate to contact our division.
Sincerely, Sincerely,
James T. Daley, P.E. Michael C. Chase. E.I.T.
Town Engineer Civil Engineer I
H:IENGINEERIFQRMAIForma]81_01.wpd
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Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
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D f�ay� Tel. 413-786-0400 Fax 413-786-9927
MEMO
TO: Building Inspector& Engineering Department
FROM: Planning Board
DATE: May 30, 2000
SUBJECT: Form A- South West Street - Jeserski
Please review and comment on the attached Form A for Jeserski on South West Street prior to
the Board's June 15t meeting, if possible.
Thank you.
CRC/DSD:prk
. May....30 , 2000 19............
To the Departmental Officer making the Payment:
Received of................D'L• sean... me. 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.
t� AG4
TOWN OF AGAWAM
36 .MAIN STREET AWVA.M. MASSACHUSETTS 01001
Tel. 413-7 86-0.100
FORM A
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Application for Endorsement of Ran Not Believed to Require Approval
FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COP`mly,P
THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTIC�i i1B
Agawam. MA May 26, c fl00
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.
I. Name of Applicant Frederick Jeserski
Address 627 South West Street - Feeding-Hills, MA
2. Name of Surveyor D.L. Bean, Inc.
Address 40 School Street - Westfield, MA
3. Deed of Property Recorded in _ Hampden county
Book 10511 Page 203
4. Location of Property Property is located on the easterly line of South West Street.
5. Describe the proposal in this submission: To create a lot located in a business A &
Business B zone.
ATTACHMENTS - Two originals and three copies of plan by certified land
surveyor. Filing Fee - $35.00.
Signature of Owner jT -,�Y _ ' ACS Address Gz SQL-t-
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