HomeMy WebLinkAbout11/17/2016 - Form A - ANR Application - - 1 CAMPBELL ROAD a
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P L A N N I N G E A R T VE N
Community t & Economic Development Division
Form A — Aplication, APPROVAL NOT RE^UIRED
DATE:
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Bring three application forms to the Town Clerk's office t time stamp. Leave one,application with the Town Clary and ring two
applications to,the Planning Department. Petitioner must submit,an electronic PDF version f all submission material.
Theundersigned, 1i ire that the accompanying lan f r rt ire the Town of
� � ! Andover, Massachusetts,does not,
constitute,a subdivision within the meaning f the Subdivision Control Law, herewith submits said plan for a determination are
endorsement,that the Planning Board approval under the Subdivision Control Law is not required.
Please not prepare i yi urs until,the Planning Board has rev"Iewed the appUcation.
11. Name of Applicant Address" Oawoohe?
Phone&email: ` E.v.LiPw
2. Location and Description of Property,[includeAssessor's Map and Lot and Zoning istri t s
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3. Deed Reference: Book �7 14 Page
r Certificate Title:
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.,, Name f Surveyor.-
- °. C 6 f
Address: �� CC14,1 ®R V-)
Signature of rear s : �
Addressw� L- � zj .................... 0 1.-
Please do not prepare,i l lars until the Planning Board has reviewed the appl'I"cationl,
Pieria indicate the grounds(either A, B, C or D, not a combination,)on which you believe your plan not to be,a
subdivision.
Page I of 2
1600 Osgood Street,Bldg.20 Suite 2 3 lanni Dept.,North!Andover, a a pus tts' 1 '
Phone 978,.688.953,5 Fax 978,.688.9542 Web t ngfri rthan r com
Edited 01/05/16
A. Each lot on the plan meets one of the following criteria:
1. Has the frontage, lot area, and lot width required under the Zoning Bar-law on:
a a public gray, or
} a way which the Tura Clerk certifies is maintained &used as a public gray,or
c)a way shown on a plan approved and endorsed by the Planning Board under the Subdivision Control Lair,
recorded In Plan Boob Plan or
d way in existence before the adoption of the Subdivision Control Law by the Torn and which the Board finds
adequate for the ray's proposed use, or
e a way shorn on a plan of a subdivision recorded at the Registrar of Deeds or the Land Court prior to the
adoption of the Subdivision Control Law,
B. Each Lot has been clearly marked on the plan to be either:
a)joined to and made part of an adjacent lot,or
b labeled"Not A Building Lot".
Each lot on the plan contains a building that existed Prior to the adoption of the Subdivision Control Law.
D. The plan shows an existing parcel with no new lot division(s)and has frontage on a way described above.
Received:Town of North Andover Town Clerk(date stamp):
Signature of Town Official receiving this application:
Notice to APPLICANT/TOWN.CLERK of action of Planning Board on accompanying plan:
1. The forth Andover Planning Board has determined that said plan does not require approval under the
Subdivision Control Law, and the appropriate endorsement has been made upon the same.
2. The Forth Andover Planning Board has determined that said plan shows a subdivision,as defined by .L.c. 1,
s. 1-L and must,therefore, be resubmitted for approval under the Subdivision Control Law.
Very truly yours,
Nor h Andover Planning Board
By:
Date:
DOTE: If endorsed, Notice of Plans: The petitioner is responsible for recording the endorsed plans at the Essex North
Registry f Deeds, Lawrence, Massachusetts and shall provide a certified recorded copy of these documents to the
Planning Department.
Page 2 of
1600 Osgood Street,Bldg.20 Suite 2035 Planning Dept.,North Andover,Massachusetts 0l
Phone 978.688.9535 Fax 978.688.9542 web www.town6northandover.com
Edited 01/05 1