8 ALMEDA ST - PLANNING Form A Decision
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JUL 17 12n29 PH 086
FILE 4!
NOTICE TO BE ATTACHED TO CITY tl fM,HA55.
FORM "A"APPLICATIONS
See Foran "A" applications for
complete instructions for filing.
All insertions shall be typewritten
or printed neatly in ink. /
Date: -
City Clerk
Salem, Massachusetts 01970
Dear Sir:
I hand you herewith two copies of Form A, an application submitted by me this day to the Plan-
ning Board of the City of Salem requesting a determination and an endorsement on a plan filed with
said application that Planning Board approval under the Subdivision Control Rules and Regulations is
not required.
The land shown on the accompanying plan is located at -----#8_— a—Street
---------------------------------
Salem, Massachusetts
---- — — ------------------------------ in Ward ----------------------------------- -----------------
(insert street and street numbers here)
Signature of Owner ---07. A""___10 ?L--""*--- �r$
Street Address -------------- - -- —ES- !V o Wo ,.,7 5 7—
- — —
City/Town &State ------------------------ --------M----s-a ------------------------
--------------- --_. - —
Telephone Number _________._____ S �° �n
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o4alem, ,$Iaesachu�eN� 01970 -
FORM A
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE .Jut 17 12 29 Qy '96
APPROVAL FILE
In accordance with provisions of Section II-B, the
applicant must file, by delivery or registered mail, a CITY CLE" _1 EM. ASS
Notice with the City Clerk stating the date of sub-
mission for such determination. The notice shall be
attached to two copies of this Form A application.
The notice and both copies of the application must
be "date stamped" by the City Clerk and then one
copy of this Form A, with the Plan, filed with the
Planning Board by the applicant. All notices and
applications shall be typewritten or neatly printed
in ink.
Salem, Mass-- ---------------y2 rr----------- - 19�G-
To the Planning Board:
The undersigned, believing that the accompanying plan of his property in the City of Salem does not
constitute a subdivision within the meaning of the Subdivision Control Law because (See Sect. 11-A and
state specific reasons) existinq_stdiyision_plan_on_record_�idYlTtq_dtleguate-frontage
and- area pursuant to_Board_ of --dated--June-18,__1986-.--------------
------------------------------------------------------------------------------------------------------------------------------ ----------
and herewith submits said plan for a determination and endorsement that Planning Board approval
under the Subdivision Control Law is not required.
1. Name of Owner ------Mario Dvirgilio
---------------------------------------- - -
--------------------------- --------------------- ----------------
Address------5__Al moda__Streetr--Salem---------------- -------------
2. Name of Engineer or Surveyor ...ate &___- er,
Address ---196 Central Street,__Sauyus, Massachusetts_-_ _
So. Essex ---------------------- Registry
3. Deed of property records in _-_-___--------------------------------- --- g T
Book - 3@k4------------------------- Page -37a-----------------------
4. Location and Description of Property: ----------------------------------------------------------------------- - ---- --
------------A--l--m--e--d--a- Street, Salem, Massachusetts-being__shown--as_-Lots--L_&-_2__on_sa-d_Plan.
------------------------------------------------------------------------------------------------------------------------------------------------
------------
-------------------
- --- --------------------------------------------------------------------------------------------------- ----------------------------------
----------------------------------------------------------------------------------------- -------------------------------- ----------------- -
-----------------------------------------—----------------------------------------------------------------------------------------------------------
5. All streets and abutting lot lines shall be shown on the Plan together with the names of the Owners
of the abutting lots, tie o ^•6•a, /,/-d O -d T2ML�-
Signature of Owner-- --y---- ----------�- - ------ -- - - �
Address - --S--NQ��� --r /_rr�
- - -- - 7
Telephone Number ------------------ 8%_-/ofQ---------------------------------
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