HomeMy WebLinkAboutPlanning Willow St 9_24_2016RECEIVED
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FORM A
j11b SEP 14 P 3 11 MANSFIELD PLANNING BOARD
KMSIFELD, MASSACHUSETTS
MIAM"F E
iP$iha original and threw copies of the plan shall be filed with the Town Clerk)
Received By:
Town Clerlt Date of Filing
To the Planning Board and the Town ofMansfield:
The undersigned, believing thatthe accompanying plan ofhis property in the Town of Mansfield does not
constitute a subdivision within the meaning of the Subdivision Control Law, herewith submits said plan for a
is
deteminadon and endorsement thatthe Planning Board approval under Subdivision Control Law not quired.
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Name of OwnerS 9 f 81= 6 ainl Name of Appficnnt Ai c a L • tt-t is T1Z'
Address AD,SaX ':5613 M K ,� /Vis ozoYb
Address ,
Name of SurveyorCPA L6 y"Wwo rr-1Registration Number qo �/ol
Deed of property recorded in
Mansfield Assessor's Atlas•. Plat Z6 Parcel S f 160
Description of
Reason plan does not constitute a Subdivision:
Signature of Applicant atare of Owner if of fire Appl/cant
PLANNING BOARD APPROVAL UNDER THE SUBDIVISION CONTROL LAW NOT REOUH2ED
Signed
rft, Mansfield Planning Board Date