HomeMy WebLinkAbout2012-12-20 Planning Board Supplemental Materials (36)
PLANNING DEPARTMENT
Community Development Division
Form J – LOT RELEASE
The undersigned being a majority of the Planning Board of the Town of North Andover, MA hereby certify that the
requirements for work on the ground called for by the Conditional Approval dated November 20, 2012 and recorded in
Essex North District Registry of Deeds, Book _______, Page ________ (or registered in ______________ Land
Registry District as Document No. ____________, and noted on Certificate of Title No._________, in Registration Book
__________, Page__________) have been completed to the satisfaction of the Planning Board as to the following
enumerated lots shown on Plan entitled
Definitive Subdivision Plan of Land, 623 Osgood Street, North Andover, Massachusetts,
recorded with said Deeds, Plan Book _____, Plan _____, (or registered
dated November 8, 2012 (Rev. November 14, 2012)
in said Land Registry District, Plan Book _________, Plan ________) and said lots are hereby released from the
restrictions as to sale and building specified thereon. Lots designated on said Plan as follows: Lot 1, Lot 2 and Lot 3
(To be attested by a Registered Land Surveyor)
I hereby certify that lot number (s) 1, 2 and 3 on Road A which is an unnamed Street
do conform to layout as shown on Definitive Plan entitled “Definitive Subdivision Plan of Land, 623 Osgood
Street, North Andover, Massachusetts,” dated November 8, 2012 (Rev. November 14, 2012, Section __N/A___ Sheet(s)
1 of 1 ”
Registered Land Surveyor
Majority Of the Planning Board of North Andover
1600 Osgood Street, North Andover, Bldg.20, Suite 2-36 Planning Dept., Massachusetts 01845
Phone 978.688.9535 Fax 978.688.9542 Web www.townofnorthandover.com
Edited 8/1/07
COMMONWEALTH OF MASSACHUSETTS
Essex County, ss. Date: November __, 2012
On this ____ day of November, 2012, before me, the undersigned notary public, personally appeared John
Simons, as Chairman of the Town of North Andover Planning Board, proved to me through satisfactory evidence of
identification, which was \[a current driver’s license\] \[a current U.S. passport\] \[my personal knowledge\], to be the person
whose name is signed on the preceding instrument and acknowledged the foregoing instrument to be his or her free act
and deed and the free act and deed of the Town of North Andover Planning Board.
____________________________________
Notary Public
My commission expires:
1600 Osgood Street, North Andover, Bldg.20, Suite 2-36 Planning Dept., Massachusetts 01845
Phone 978.688.9535 Fax 978.688.9542 Web www.townofnorthandover.com
Edited 8/1/07