HomeMy WebLinkAbout1782E ANR Form A TCPLANNING BOARD
TOWN OF YARMOUTH,
MASSACHUSETTS
APPLICATION FOR ENDORSEMENT
OF PLAN
APPROVAL NOT REQUIRED
FORM A
Date: 7-13- 202)
To the Yarmouth Planning Board:
Reference No.
Hearing Date: _ Z .3
El signed copies of Fonn A
tol"FFee ($250 — 3 bts, then $75 per lot
Original plan and digital file
2`1�0 copies of plan
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 350ZM , Page 301 n.,a)r or registered in the Barnstable Land Court
Certificate of Title as shown on the Town of Yarmouth
Assessor's Map number ', parcel 101. 1 95. i
,.bg3I3t2 M 34Z
Owner:
ANbrzE1n1 LAia
Print name
Signature
dv At -
Address
&2673
Surveyor:
DgNIE1_ A. QUALA, ft EL5
Print name
DONN CAPE 1✓N6INEEPN6, INC.
.. -
Applicant:
Z^ M F-
Print name:
Signature
Address
409 O
Registration No.
7A
Continued