BAKERS ISLAND - ZONING ?Form A Decisions
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W NOTICE TO BE ATTACHED TO
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complete instructions for filing.
All insertions shall he typewritten
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Date: Ogtober_27:_ 1989
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 fled 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 locatCdd t _Bakers Island__and recorded at
Es_I x_County_Registry-of__Deeds__ -- 6011 in Ward ________-_________________-____-_________-_____________-.
(insert street and street numbers here)
Signature of Owner ----------
Street Address ..........250 Walden Street
--------------------------------------------------------
City/Town& State ----Cambridge._-MA---02140
Telephone Number _ (617)__661-0917
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FORM A
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE
APPROVAL
In accordance with provisions of Section 11-B, the
applicant must file, by delivery or registered mail, a
.p
Notice with the City Clerk stating the date of sub-
mission for such determination. The notice shall be
N -0 attached to two copies of this Form A application.
v 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., __October__27----------------------19 89---
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. II-A and
states specific reasons) -----Section- -— ---VI A Density Regulations, provides that the pro—
visions - --- ----- - - -- ----------------------------------------------------------
visions of Table 1 with respect to lot area, lot width, lot coverage, yards
--------------------------------- — — -
- - ---------------------------------------------------------------------------------
and height of buildings, shall not apply to the islands within the municipal
--------------------------------------------------------------------------------------------------------------------
hn,,,,dri PQ--af_-Salem-----------------------------------------------------------------—------------- ---—---------------------------
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 ---.Leanne-4Lf52----—-------------------------------------------------------------------------------------
Address...250 Walden Street, Cambridge, MA 02140
- --------------------------------------------------------
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2. Name of Engineer or Surveyor _-_Rert--Priestley_,__Hub—Survey_Associates, _Inc-------
Address ___5 Morton Avenue, Saugus, MA 01906
--- - - — — — —
3. Deed of property records in -------ESS 2XS01Inty___ _-_ _---_ _ _ __ -------------- Registry
Book ---------fi011----------------------- Page -----424 --------- — ------
4. Location and Description of Property: ___A._five sided41,900sq. foo t tract- ---of-----land--- ------
on Baker's Island in Salem Harbor recorded at Essex County Registry of Deeds
Book 6011 Page 424;----ap--4-6---Lo-t--
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99.--------------------------------
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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. }
Signature of Owner------
---------------------------
Address --- .----------------
z ----Walden Street,__Cambridge,_MA 02140
Telephone Number _1617)__061-03.1-7------------------------------------------
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1 CERTIFY THAT THIS PLAN CONFORMS WITH THE RULES ANIS HUB SURVEY ASSOC, INC.
' REGULATIONS OF THE REGISTERS OF DEEDS SAUGUS MA
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1 CERTIFY TH4T THIS PLAN CONFORMS WITH THE RULES AND HUB SURVEY ASSOC. INC.
REGULATIONS OF THE REG IST ERS OF DEEDS SAUGUS MA
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