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8. Deed recorded in the Registry of Deeds in Book 18.76 Page jt2, 11 or Land Court
Certificate No. Book Page a %�
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g. The principal points upon which I base my application are'„As � l „ ws: (must be
stated in detail) 1 i
Access to the dwelling and connection to utilities would be impossible
without this permit. There is no other street access from which
another driveway could be constructed. Utmost care will be taken
to assure that minimal disruption of the land and surroundings occurs.
The loss in value of the land without this permit would represent M
a substantial hardship.
i agree to pay for a y"w.. :Y. 3T. rzews a er -nnri postage fee for mailing legal
notices to "Parties, erest91
� Z, T L (Petitioner's signature)
Every application for action by the Board shall be made on a form approved by the
Board. These forms shall be furnished by the Clerk upon request. Any communication
purporting to be an application shall be treated as mere notice of intention to:-Seek
relief until such 'time as it is made on the official application form. All information
called for by the form shall be furnished by the applicant in the manner therein
prescribed.
Every application shall be submitted with a list of "Parties in Interest” which
shall include the petitioner, abutters, owners of land directly opposite on any public
or private street or way and abutters to the abutters within three hundred (300) feet
--of—the popery line all as they appear on the most recent applicable tax list, notwith-
standing that the lan—d—o-f"6ny such owner is located in another oity or town, the Plan-
ning Board' of the town and the planning board of every abutting city or town.
. LIST OF PARTIES IN ,INTEREST
NAME ADDRESS
Edward and Clara Palmisano 1777 Great Pond Road, North Andover
/' Louis and 'Judith Minicucei;' Jr 1785 Great Pond Road, North Andover
R-a-u4--C-._&rlggs 6 ,'F'er;,nview Avenue; Apt., 12, North Andover
William and Helen Driscoll, 1815 Great Pond Road, North Andover
Richard and Sophie Hap'key 3258 24th Terrace SW, Miami, Florida
Stella Sobel ands
125...,E -t, t;6a ,-MA
ADD ADDITIONAL SHEETS, IF NECESSARY.