HomeMy WebLinkAboutANR 1977A Form A TCPLANNING BOARD
TOWN OF YARMOUTH,
MASSACHUSETTS
APPLICATION FOR ENDORSEMENT
OF PLAN
APPROVAL NOT REQUIRED
FORM A
Date: A u(kA
To the armouth Planning Board:
For Office Use Only
Reference No. 19
Hearing Date: __ Y_!� Z�Z j
0 3 signed copies of Form A
13'Fee (YftO <= 3 lots, then $75 per lot
[?Original plan and digital file
IT10 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 37 a -a , Page 14R or registered in the Barnstable Land Court
Certificate of Title as shown on the Town of Yarmouth
Assessor's Map number -7r), parcel AS .
Owner: �^
Print name
Signature
Applicant:
il--)
Print narAi
Signature
5yo
p474 4 ON AOO pa -
Address Add es� s .
,�.I,o �u �o�,�smc� 3 Ba�II�� �,�, r���l y�
Surveyor:
1 & Can
Print name
Abe) C, (,)c6upzt n c
3vci a,o,&-t , +--D
Addre
Registration No.
1ARNOUTH TOWN CLERK RE Continued
JUN 16'25 PM4:21
PLANNING BOARD
TOWN OF YARMOUTH,
MASSACHUSETTS
APPLICATION FOR ENDORSEMENT
OF PLAN
APPROVAL NOT REQUIRED
FORM A
Date: ,� I io
To the rmouth Planning Board:
Rete►ence No.
Hearing Date: _
O 3 signed copses o1 Form A
O Fee (SM — 3 lots, then $75 per lol
O Or4ftwf plan and dtgbal We
O to coplee 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.
Dead to the property is recorded in the Barnstable County Registry of Deeds,
Boo 822 Page 1_ 3 2�- or registered In the Barnstable Land Court
Certificate of Title as shown on the Town of Yarmouth
Assessor's Map number =0, parcel L-V4 _.
Owner. Applicant: L-�F
sf -",,
S USGtn r V)n A,6�2 Itn 4h c
Prlr�,nameiyJAv ie�4�d-7 !t'ci fn5�icJ Prin�me:
1" , 1
Sit aturs I (Jv Sig ature
Address
Surveyor. s)(t an —1- Ue al /
Print name /11
b�C- 22 c
Add s
(oil���dtmt Slree.�
Address
•4 S-15
Registration No.
Continued
WHOUTH TOWN CLERK RE
JUN 16'25 PAM