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Received by Town Clerk: 0
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ORM A �54
APPLICATION FOR ENDORSEMENT OF PLAN
BELIEVED NOT TO RE UIRE APPROVAL
19 q3
To the Planning Board of the Town of North Andover:
The undersigned wishes to record the accompanying plan and
t a determination by
said `Board that approval by it under
requesired. The undersigned
the subdivision Control Law is not required for the following
. believes that such approval is not requ
reason:
-plan Is not a
I• The division ofland shown la � ereon hahe amount of
subdivision because every law and is
required b the North Andover. Zoning `By
frontage requ y , or a
on a public. way, namely�0 _e Gid-e being
rivate sway, :namely;` •
P as follows
bounded •
no
2. `The division1of land shown on the accompanying plan t a
•
, subdivision for the followi g rea ons•
x ri Y A rte •' rare G
f
Book .: Page
3. Title reference North Ie No Deeds, Registration Book
or Certificate of Ti
Page '
lica is Signature: Owners Signature and address
APP 00
if not the applicant:
(Print Name)
. " APP S�Address:
Tel. No. -+
{
Received by Town Clerk:
Notice to APPLICANT/TOWN -CLERKof . action of Planning Board on
accompanying plan: =
1. The North 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.
t ..
2.- - '.The ' North Andover-=PlanningBoard 'has . determined that : said
plan dhows a "subdivision,;ids "defined by G.L:: c.41; s. ,, 81-L,
__,. ��-
and must*.therefore be ;re submitted to it for approval under
t' ahe`Subdivision"Control,=Law:" JM
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k� � ` Very truly Yours,
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NG BOARD
NORTH ANDD I
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7
Date: