15 ORD ST, 19 ORD ST - PLANNING a
Form A Decision�� C/r G ,fry -
Of �tt1em, ttssttt�use##�
CHU Pau
- � _ � �alem, ,�laaaac!?uae8s 01970
FORM A
APPLICATION .FOR ENDORSEMENT OCT Z� $ 59
OF PLAN BELIEVED NOT TO REQUIRE
APPROVAL FILE
In accordance with provisions of Section II-BC,# OLFf,K SSI.EM.MASS.
applicant must file, by`delivery or registered mail, a
Notice with the City Clerk stating the date of sub-,
mission for such determination..The notice shall he
attached to two copies of this Form A application.
The notice and both copies of the application must
b "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 he typewritten or neatly printed
in ink.
20,
Salem, Mass., October 2 1'9_86
To
'9 86To 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) _..re-subdivision of two lots in existence--orio- r------to--en- -actme
- - -
nt
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of Subdivision Control. Law
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- ---------------- ------ --- -- ---- ---------------------
---
and herewith submits said plan fora determination and endorsement that Planning Board approval
under the Subdivision Control Law is.not required.
1• Name.of Owner -_-Catherine E. Lynch
'
19 6r-d BEreet; Salem "-----
- -
Address ---------------- -------------------------------------------- - ---
Cape Ann Land Survevors
2. Name of Engineer.or Surveyor r-------------------'----------------------------------------------------------- -
Address -------------------------19 Trask Street,--Danvers --------------------------_-__-_-_--
-- - -
3. Deed of property records in -----Essex_South----------------------------------------- Registry
Book -----------------------°---=------- Page ----------- --------------------
4. . Location and Description of Property: ----- _O_rd-_Street_ 19__Ord_Street___--------_--.---.-.
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5. All streets and abutting lot lines shall be shown on.the Plan together with the names of the Owners
of the abutting lots. ef
Signature of Owner-------- 6— --- ----
Address :
19 Ord Street , Salem
------ ----- ----------'------ -------------- --------
Number.--- ----------
Civ of *Irw, 4Hassar4usette
Mug pall
�alrm, �lannachuneNn 01970
OCT 10 8 5.9 AH 'g6
FILE$
CITY Cj
NOTICE TO BE ATTACHED TO '4A SS.
FORM "A"APPLICATIONS
See Form "A" applications for
complete instructions for filing.
All insertions shall be typewritten
or printed neatly in ink.
Date: __October 20, 1986 -
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 -------1=5-_1.9__Or_ti__Cztizaet____-________---_____
- in Ward -----4
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-----------------------------------------------------
(insert street and street numbers here)
Signature of Owner --------- ---- �U��
- - -
Street Address _49_0-rd- r-t-ree-t---------------- - ------ —
City/Pown & StateSalem,_.Mass--------------------------------------—------------------------
745-2284
TelephoneNumber --------- ------------------------------------------------------------------------