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8300_FORM A- SILVER STREET - LUCIA ++ke300 horn-, g 5-1 \ vex- S + � ee.+ Lucl q o�� 9 Town of Agawam ` 36 Main Street Agawam, Massachusetts 01001-1837 y� Tel. 413-786-0400 Fax 413-786-9927 MEMO TO: Building Inspector& Engineering Department FROM: Planning Board SUBJECT: Form A - Silver Street- Lucia DATE: April 16, 2004 Please review and comment on the attached Form A for Lucia on Silver Street prior to the Board's April 29" meeting. Thank you. DSD:pre No. April 15 20 . 04 To the Departmental Officer making the Payment: Received of Lucia Lumber , 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, Apr 15 04 11 : OOa Lucia Lumber Cc 413-786-3520 p, 2 To- wh :. of Agawam ' 36 ;Main Street Agawam, Massachusetts 01061-1837 Tel, 413-786-0400 Fax 413-786-9927 FORM A Application for Endorsement 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-B G Agawam, MA April 15, 2004 20 V TO THE PLANNING BOARD: - -r The undersigned, believing that the accompanying plan of his property in the Town of ter,, Agawam does not constitute a subdivision within the meaning of the Subdivision Contr 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 Raymond F. & Joanne Lorin Address 777 Silver Street Agawam, MA 2. Name of Surveyor Bruce Coombs, Heritage Surveys, Inc. _ Address P.O.Box 1, College Hwy, & Clark St. , Southampton, MA 01073 3. Deed of Property Recorded in Hampden County Registry of needs- Book 7286 Page 78 4. Location of Property T Silver Street, Agawam, Massachusetts 5. Describe the proposal in this submission: Parcel B-2, area=16;997 square feet, more or less a's shown on a Plan of Land prepared by Heritage Surveys, Inc. dated 3/19/04 ATTACHMENTS - Two originals and three copies of plan by certified land 's surveyor. Filing Fee - $35.00. Signature of Owner 4Address 77-7 4Jl� F' J To wn of Agawam tiro �f 36 Main Street Agawam, Massachusetts 01001-1837 D Tel. 413-786-0400 Fax 413-786-9927 x- ' May 6, 2004 Raymond F. &Joanne Lucia 777 Silver Street Agawam, MA 01001 Dear Mr. &Mrs. Lucia: At its-duly called meeting held on May 6, 2004, the Agawam Planning Board voted to approve your plans under "Subdivision Control Law Not Required" for a parcel of land located on Silver Street. Plans drawn by,Heritage'Surveys and-dated March 19, 2004. Sincerely, AGAWAM PLANNING BOARD r � 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 Lucia and approved by the Agawam Planning Board for a parcel of land located on Silver Street has been recorded at the Hampden County Registry of Deeds. Book , Page Signature of Applicant TOWN of AGAWAM O _ 9 INTEROFFICE MP MEMORANDUM D To: Planning Board CC: Building Dept. /File From: Engineering Division Date: April 26, 2004 Subject: Form A #237 - Silver Street - Lucia Per your request of April 16, 2004, we have reviewed the plan entitled "Plan of Land in Agawam, Massachusetts"; surveyed for: Raymond F. & Joanne Lucia; prepared by: Heritage Surveys, Inc.; Scale: 1"=20'; Date: March 19, 2004, and we note the following: I. In future submittals, please indicate on the layout or through notes, the change being proposed with the lot layout. If you have any comments or questions, please do not hesitate to contact our division. Sincerely, Rick S. Seidnitzer G org e J. Ho an, P. Civil Engineer I own ngineer APR 28 2224 S:IF0RMA123710I.wpd cn# � (oG�-1GC� l.� LOG#���-I sox La DOCUMENT# ql PAGE#