HomeMy WebLinkAbout2918A ANR Form A TC3 0 " O PLANNING BOARD
q' 0� —, TOWN OF YARMOUTH,
t-I' MASSACHUSETTS
REcE 4AT
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Nov 2 g APPLICATION FOR ENDORSEMENT
OF PLAN
TOWN APPROVAL NOT REQUIRED
� VARMO�TH, MA v
01 FORM A
6
Date:
To the Yarmouth Planning Board:
For Office Use Only
Reference No. 49PBA
Hearing Date: IZ 6O Z3
61'*'3 signed copies of Form A
ErFee ($250 <= 3 lots, then $75 per lot
C3"Original plan and digital file
21`10 copies of plan
D LSC�LE�VV C'
zq
Nov ,rREC'D
DEVVELOPMENT
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 31/ " , Page 9 S or registered in the Barnstable Land Court
Certificate of Title as shown on the Town of Yarmouth
Assessor's Map number 133 , parcel LSD.
Owner:
11
Print name
Signature
3D De✓ &/"-A SSt
YAKAi
Address
Surveyor:
Print name
Address
Applicant:
(AI n a id i Pao le,� Gfe�ixasf L�. �y-�x
Print name:
'20�
gnatur
Registration No.
Continued