HomeMy WebLinkAbout2487L ANR Form A 122325 TCPLANNING BOARD
TOWN OF YARMOUTH,
MASSACHUSETTS
APPLICATION FOR ENDORSEMENT
OF PLAN
APPROVAL NOT REQUIRED
FORM A
Date: 1 z43k<
To the Yarmouth Planning Board:
Reference No. Z e f?z L
Hearing Date: ;X" z%
iS signed copies of Form A Jos'
lee ( <_ 3 lots, then $�ffi per lot
GkOriginal plan and digital file
2'fo copies of plan
DEC 2 3 RECD I_
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 z-es-r , Page z-3z or registered in the Barnstable Land Court
Certificate of Title as shown on the Town of Yarmouth
Assessor's Map number Iz� , parcel 42--t —t
Owner:
TEaoMws /-\ . GREv� Jcz
Print name
<Z�—U2:]E
Signature
353 w E r R-
Address
Surveyor:
.moo ►�1 a Z. D EMA,�ZE S-t �K-
Print nam
338 MA`'t=A- % Ro47 o tr �ENN►S�
Address
Applicant:
owl46 A. GRex— -) —\P-,
Print name:
Signature
3s 3 w Er fZ Q,oAk.
�ARrx%1f�i MA oz675
Address
Registration No.
MA oZ660