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OAI" { FORM A
L EATION FOR ENDORSEMENT OF PLAN
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13 VED NOT TO REQUIRE APPROVAL
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To the Planning Board of the Town of North Andover :
The undersigned wishes to record the accompanying plan and requests a
determination by said Board that approval by it under the Subdivision
Control Law is not required . The undersigned believes that such approval
is not required for the following reasons :
I . The division of land shown on the accompanying plan isnot a sub-
division because every lot shown thereon has the amount of frontage
required by he Nort Aoning 8y Law and is on a public way ,
namely , , or a private way , namely ,
, being land bounded as follows :
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2 . The division of land shown on the accompanying plan is not a sub-
division for the following reasons :
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3 . Title reference NOf 1 orth EssextDeeds,, g �6 2 ,
Book ?1:C� • Page or
Certificate of Title No . Registration Book
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Appli ant ' s Signature : , Owner ' s signature and addre,�s if not
the applicant :
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Applicant ' s Address :
26 72 Xe rro min AW
17s- ,�en
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Oversized Maps on file with the Town