HomeMy WebLinkAbout2015-06-05 Application for Preliminary Subdivision Approval - Wellington Woods r
t �a; 42
E tt
$SAC f
` F p
i r;;� rsif.1i,F'i>lOf','. €'I ['"1-1°ri(�� a�'�f`Y Sift ��Iti�I f�:�)�,� ����'['i�<;[��e���(._
DATE.,
(Stamp three (3)forms with the Town Clerk. File one (1)form with the Town Clerk and two(2)forms with the Planning
Department)
To the Planning Board:
The undersigned, being an applicant under Chapter 41,81-S,MGL,for approval of a proposed subdivision plan, hereby
submits a Preliminary Plan and makes application for approval to the North Andover Planning Board.
1.game of Applicant: /AE-55 It2 6 D(W t�(I ryi E- tU 7—
Address: 7 WAsa 0677Z9t-J 5 �' d
Signature of Applicant: ' i„ .J .} /
2. Name of Subdivision: U T U IVL W 0 0 b S
3. Locatlon and Description of Property(include Assessor's Map&Lot and Zoning Districts)
RTC �b:� B�KFp20 5T , N�!
4.Address of Property Being Affected:
Zoning District: ~
Assessors:Map#: 10 C Lot#
5. Deed Reference: Book -f0-7 , Page 117 and, _ ao
Certificate of Title No.
E
6. Name of SurveyorlEngineer: C f-P_re-,77/1-I-J Sr=U f 't-,2�! /iLI,
Address: 16 0 51,,A e 2a S7- r ji r c-& m
7.Signature of Owner(s): r l t I
Address: n,:�-t) -1;7- N
Received:Town of North Andover Town Clerk(date stamp):
Signature of Town Official receiving this application:
Form L
SIGNATURE REQUEST FOR PLAN REFERRAL ACKNOWLEDGEMENT
Departmental referral Form L with ajb4t re of department acknowledging receipt.
0,e�4jTO: Director, DPW
Town Engineer, DPW—
Water& Sewer Department, DPW
Water Treatment Depart nt
Fire Chief
Conservation Administrator 1001L, Sr
Inspector of Buildings_
ij
Al
Health Administrator A "Vv,
School Department ! � -. �fl ;� �; %�� r " z 1�.
Police Department
FROM: Applicant I?SS/"ft b C-V E W&6 0-r
Date: 2 3 -'Z6
Re: Preliminary Plan Y-
Definitive Subdivision
Modification to a Subdivision
Special Permit
Site Plan Review
Address of Development: 0 ry 0
A Public Hearing has been scheduled for the following date:
2-
Please provide your written comments to the Planning Department by the following date: AP�16 15
(The Wednesday before the scheduled public hearing and/or scheduled Planning Board rnecting).
Failure to provide written comments by this date will constitute your approval of this plan.
Thank you.
h;q�! 3 of 3
1400 0wiod Noi Ili Amlovi!r,Rld�120, ').16 Illmwiiiq Dij)I, 01821�
Mid 1 9 8.(i 1)5 3 S h)-mlifi lol(I x
dii-I 11Q�91P)Ail)