HomeMy WebLinkAbout2938 ANR Form A 040423 TCPLANNING BOARD
TOWN OF YARMOUTH,
MASSACHUSETTS
APPLICATION FOR ENDORSEMENT
OF PLAN
APPROVAL NOT REQUIRED
FORM A
Date: Lf.tat
To the Yarmouth Planning Board:
Reference No. 2' -1 5 S
Hearing Date: _ 411°� X1
W 3 signed copies of Form A
(31 Fee ($250 <= 3 lots, then $75 per lot
;original plan and digital fne
Qyt 0 copies of plan
YARM i� I T -� TOWN CLERK
'23APR44 •M6:02 RF C
The undersigned, believing the accompanying plan of property in the Town of Yarmouth
does not constitute a subdivision within the meaning of the Subdivision Control Law,
requests a determination and endorsement by the Planning Board that approval under
the Subdivision Control Law is not required.
Deed to the property is recorded in the Barnstable County Registry of Deeds,
Book 317.3 5 , Page Zg or registered in the Barnstable Land Court
Certificate of Title as shown on the Town of Yarmouth
Assessor's Map number 51 , parcel q.
Owners
�rfi J C Ac i ESmtj
Print name D_ t-e-s o v\.
Signature QO'-YVQN r C-t• `�'
't�C 2, o o'0+ ii
Mt! \ t-k N& Address
Surveyor:
1 `
Iffr—int name DkN 16L A. OJA LA ff, Fi_S
►SOWN CAPE E-WONCR24461 INC,
yWOM P012-ri MA 02012
Address
Applicants P t;
E1- PE o � 1� A, C � S o ►�
Print name:
Signature -0- 6 It
D- A,C-vN -ESd9,po"(Rg5vE_�Q-Apt 11
I+A+L; , A&Address
r Ls go90D
Registration No.
Continued
Application for Endorsement of Plan Approval Not Required (ANR)
FORM A (additional signature page)
Down Cape Engineering, Inc., 939 Route 6A, Yarmouth Port, MA 02675
508-362-4541
Map 51 Parcel 91
Owners: -t--"o ve, (A
Elanor D. Acheson
/�A� EdLl�
David C. Acheson, Jr.
Peter W. Acheson
Address:
425 8th Street NW#1129
Washington, DC 20004
YARMiU TH TOWN. CLERK
,L 3APR4PM4:03 REC
//O�`� ' �dl d ss s
Application for Endorsement of Plan Approval Not Required (ANR)
FORM A (additional signature page)
Down Cape Engineering, Inc., 939 Route 6A, Yarmouth Port, MA 02675
508-362-4541
Map 51 Parcel 91
VARH a iT H TOWN CLERK
Owners:
'2�APR4Pm4:03 REC
Eleanor D. Acheson
David C. Acheson, Jr.
Peter W. Acheson
Address:
425 8th Street NW#1129
Washington, DC 20004