HomeMy WebLinkAbout2012-12-20 Planning Board Supplemental Materials (28)
PLANNING DEPARTMENT
Community Development Division
Form J – LOT RELEASE
The undersigned being a majority of the Planning Board of the Town of North Andover, MA hereby certify
that the requirements for work on the ground called for by the Conditional Approval dated November 20, 2012 and recorded in Essex North District Registry of Deeds, Book _______, Page
________ (or registered in ______________ Land Registry District as Document No. ____________, and noted on Certificate of Title No._________, in Registration Book __________, Page__________)
have been completed to the satisfaction of the Planning Board as to the following enumerated lots shown on Plan entitled Definitive Subdivision Plan of Land, 623 Osgood Street, North
Andover, Massachusetts, dated November 8, 2012 (Rev. November 14, 2012) recorded with said Deeds, Plan Book _____, Plan _____, (or registered in said Land Registry District, Plan Book
_________, Plan ________) and said lots are hereby released from the restrictions as to sale and building specified thereon. Lots designated on said Plan as follows: Lot 1, Lot 2 and
Lot 3
(To be attested by a Registered Land Surveyor)
I hereby certify that lot number (s) 1, 2 and 3 on Road A which is an unnamed Street
do
conform to layout as shown on Definitive Plan entitled “Definitive Subdivision Plan of Land, 623 Osgood Street, North Andover, Massachusetts,” dated November 8, 2012 (Rev. November 14,
2012, Section __N/A___ Sheet(s) 1 of 1 ”
Registered Land Surveyor
Majority Of the Planning Board of North Andover
COMMONWEALTH OF MASSACHUSETTS
Essex County, ss. Date: November __, 2012
On this ____ day of November, 2012, before me, the undersigned notary public, personally appeared John
Simons, as Chairman of the Town of North Andover Planning Board, proved to me through satisfactory evidence of identification, which was [a current driver’s license] [a current U.S.
passport] [my personal knowledge], to be the person whose name is signed on the preceding instrument and acknowledged the foregoing instrument to be his or her free act and deed and
the free act and deed of the Town of North Andover Planning Board.
____________________________________
Notary Public
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