8328_FORM A- MOYLAN LANE- SASANECKI LLC a
� LLC
TOWN OF AGAWAM
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INTEROFFICE y�
MEMORANDUM
To: Planning Board
CC: File
From: Engineering
Date: October 28, 2004
Subject: Form A 253 - Moylan Lane - Sasanecki, LLC
As per your request dated October 13, 2004, we have reviewed the Form A entitled, "Plan of Land
in Agawam,MA;Prepared for: Sasanecki, LLC;Prepared by: Sherman and Woods,Land Surveying
&Engineering, 3 Converse Street, Suite 203 Palmer,MA 01069; Scale: I"=40'; Date: 10/7/2004"
and we approve the plan.
If you have any comments or Questions, please do not hesitate to contact our division.
Sincerely,
Rick S. Seidnitzer Borg a J. H a E.
Civil Engineer I own gineer
S:IFORMA1253 Moylan Ln.wpd
No. October 13 2004
To the Departmental Officer making the Payment:
Received of The O' Leary Co. ,the sum of
Thirty-five and 00/00
i Dollars,
for the Form A Filing Fee ending for
collections as per schedule of this date, filed in my office.
Treasurer,
V
t,
o�� 9 Town of Agawam
36 Main Street Agawam, Massachusetts 01001-1837
D Tel. 413-786-0400 Fax 413-786-9927
MEMO
TO: Building Inspector & Engineering Department
FROM: Planning Board
SUBJECT: Form A - Moylan Lane - Sasanecki, LLC
DATE: October 13, 2004
Please review and comment on the attached Form A for Sasanecki on Moylan Lane prior to the
Board's October 215f meeting.
Thank you.
DSD:pre
J THE COMMONWEALTH OF MASSACHUSETTS
Town of Agawam
FORM A
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
File one completed form with the Planning Board and one copy with the
City (or Town) Clerk in accordance with the requirements of Section II-B.
No. Date: October 12, 2004
To the Planning Board:
The undersigned, believing that the accompanying plan of his/her property in Agawam, MA
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 Sasanecki, LLC
2. Address 68 Moylan Lane, Agawam, MA 01001 ,
7
3. Name of Engineer or Surveyor : Sherman and Woods Land Surveying_& Engineering j
Address : 3 Converse Street, Suite 203, Palmer, MA 01069
4. Deed of property recorded in Hampden County Registry,
Book 9930 Page 181 `
11299 163
10219 53
5. Description: _Lot 6A, area of 1.624 acres and Lot 7A,area of 2.731 acres are located on the northeasterlL
side of Movlan Lane northerly of Shoemaker Lane.
Signature of owner
Address 68 Lian Lane
ARawam,_MA 0 100 1
Town of awam
l 36 Main Street Agawam, Massachusetts 01001-1837
Tel. 413-786-0400 Fax 413-786-9927
Q
r
October 28, 2004
Sasanecki, LLC c9
68 Moylan Lane
Agawam, MA 01001
Dear Mr. Sasanecki:
At its duly called meeting held on October 28, 2004, the Agawam Planning Board voted to
approve your plans under "Subdivision Control Law Not Required" for a parcel of land located
on Moylan Lane. Plans drawn by Sherman & Woods and dated 10/7/2004.
Sincerely,
AGAWAM PLANN G BO RD
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 Sasanecki LLC and approved by the
Agawam Planning Board for a parcel of land located on Moylan Lane has been recorded at the
Hampden County Registry of Deeds. Book , Page
Signature of Applicant
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JOB r4r-o-Lco q
LOG 9
BOX _ L2, - - -
DOCUMENT #
PAGE# - -
THE COMMONWEALTH OF MASSACHUSETTS
Town of Agawam
FORM A
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE APPROVAL
File one completed form with the Planning Board and one copy with the
City (or Town) Clerk in accordance with the requirements of Section II-B.
No. Date: October 12, 2004
To the Planning Board:
The undersigned, believing that the accompanying plan of his/her property in Agawam, MA
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 Sasanecki, LLC
2. Address 68 Moylan Lane, Agawam, MA 01001
3. Name of Engineer or Surveyor : Sherman and Woods, Land Surveying & Engineering
Address : 3 Converse Street Suite 203, Palmer, MA 01069
4. Deed of property recorded in Hampden County Registry,
Book 9930 Page 181
11299 163
10219 53
5. Description: Lot 6A, area of 1.624 acres and Lot 7A, area of 2.731 acres are located on the northeasterly_
side of Mo lan Lane northerly of Shoemaker Lane.
Signature of owner V✓l(
Address 68 avlan Lane
Agawam, MA-01001