23 SURREY ROAD - BUILDING INSPECTION " 23 SURREY ROAD
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FORM P. - DECISION ;17.Y CLURX.
Ms. Josephine Fusco
City Clerk
City Hall
Salem, MA 01970
Dear Ms. Fusco:
At a regularly scheduled meeting of t::e Sale_. _lanning Board held
on May 17, 1989 it was voted to erdorsa "Approval Under Sub-
division Control Law Not Required" on the followine described plan:
1. Applicant:
Stephen Hicks
229 Humphrey Street
Marblehead, MA 01945
2. Location and Description -
23 Surrey Road.f.Undeveloped land containing 23,130 s.f. on finished
street. 152 feet of frontage. Shown on Assessors Map' 22 as parcel
27. Assessed as a single parcel. Shown as two lots at Registry
of Deeds.
Deed of property records in Essex South District Registry.
Sincerely,
6u
Walter Power III
Chairman
WP/sm
(9it" of 2IIPm, M5St2LljuSP #
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'r `• ��rF �lttnnin3 �AMT�
Citq RnIl
,'SAlem, ,.t�ilAseArhueette U1970
'En
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NOTICE TO BE ATTACHED TO
FORM "A"APPLICATIONS
See Form "A" applications for
complete instructions for filing.
All insertions shall be typewritten ;a
or printed neatly in ink.
Date: --
-- T--
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. p
(� It
The land shown on the accompanying plan is located at ----- �__- il_=i-I'Lf_i;C�Y____
----------------------------------------------------------- in Ward -------
(insert street and street numbers here)
7
�--� '
Signature of Owner r,} -- --- -------------- - ' ----------------------- --
Street Address -- - -- -- _ _u_i!?- -/_?_2_s
� //j--------------------------------
City/Town & State-- j?z2 L_t:ffFf1-�------/�1.4---------------------------------
Telephone Number � �J_��'� l__-Sr%t1.4di� ___�h(?J�j�_'Lf.3-- �tvc. )
s
Ic
19
-. .� .-' � �12tkLttT1113 �iuttr�
(Eau�611
,Sakm, Answc4sseetts 019111
FORM A
APPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE E, x
APPROVAL r
In accordance with provisions of Section II-B, the
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 be r
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 m
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., ----- y
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
statespecific reasons) -------------------- ------------------------------------------------------------ -----------------------
------ ------------------------ `-
--------------------------------- e~i—-------------------------------------—-- —---— -- — ------
-----------------------------------------------------------------------------------------------------------------------------------------------
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 OwnerS—
Address -
2. Name of Engineer or Surveyor :SJR S�tv�-- F- Ft i_/ L r✓`- -[_�-------- —
Address ---
--------------- --------------
3.
. --------------- --------------
3. Deed of property records in :______ --. Registry
Book 5`Sf --------------------- -- Page y �k-.----------------,-- B C 9P ��i
4. Location and Description of Property: _-vZ-3. ____est.!_Z�2�� 11.2_:_______________________________
U---S__!-_,_-_—_-__--_----.-___
r---- ----- `_til i w74C --------S D`s=1/---------
s /Kita �s lt�e_� c -- � = s s�as-------- --- QO —
�1.----------------------
Sr_'s---------------- ----------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------
5. All streets and abutting lot lines shall be shown on a Plan together with the names of the Owners
of the abutting lots.
Signature of Owner— ---
Address--_3ak--' va<f[Edi-�--.li=------�"l//f ,d4L.- -7;2-P
Telephone Num ber,GI.7)_7j/__S'_S._%� 1_-6/� Gj..-d� -��L
7Soo7t JZ.o6
LOTS 56 AND 57
239130- S.F.t
�J 3
1
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1017,V - d¢G3
I
SURREY ROAD
PLAN! OF LAND
SALEM PLANNING BOARD APPROVAL �' /o_e� 97 �' SALEM � MASSACHUSETTS TS
NOT REQUIRED UNDER THE SUBDIVISION
CONTROL LAW. PREPARED FOR : MICHEAL BEATRICE
Ian«/ �oW� d1/Er1o. 1 m� 22 SCALE : I" = 20' APRIL 24 , 1989
/
PARSONS AND FAIA INC.
480 LINCOLN AVE.
SAUGUS , MASS .
i
I CERTIFY THAT THIS PLAN WAS PREPARED IN o 20 40 60 80 100
ACCORDANCE WITH THE RULES AND REGULATIONS eii
OF THE REGISTERS OF DEEDS .
DATE '.
,
i D u
c e
DD y
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:
Western Surety Company
e
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LICENSE AND PERMIT BOND
For County, City,Town or Village Only-Not Valid for Bonds Required by the State.
Not Valid for Contract, Performance, Maintenance, Subdivision or Utility Guarantee Bond.
KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P. 41219164
Michael H. Beatrice
That e ;
of the 'i y of Swampscott State of Massachusetts as Principal,
and 4OSTERNh SURFTY COMPANY, a Corporation duly licensed to do business in the State
of assac use s as S ret , are held and firmly bound unto the
city of a em State of assac�iusYetts , Obligee, in the amount
(Valid only when a County, City, Town or Village is named as Obligee)
of Two thousand ($ 2000. 00 ) DOLLARS,
(NOT VALID FOR MORE THAN$25,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives, jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
licensed contractor
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and
ordinances (including all amendments), pertaining to the license or permit, then this obligation to be void,
otherwise to remain in full force and effect for a period commencing on the 17th day of
Nov. 1989 , and ending on the 17th day
of Nov. 1910,, unless renewed by continuation certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee and to
the Principal, in care of the Obligee or at such other address as the Surety deems reasonable, and at the expira-
tion of thirty-five (35) days from the mailing of notice or as soon thereafter as permitted,by applicable law,
whichever is later, this bond shall terminate and the Surety shall be relieved from any liability for any subsequent
acts or omissions of the Principal.
Dated this 17th day of Nov. 19�,
Michael H. Beatrice
Principal
Principal
Countersigned / p�. WESTER =U O M P A N Y
By 1 /�ca'. al Gl0ALZ'CCLC. By
Resident Agent Pres'dent
ACKNOWLEDGMENT OF SL RET ;
STATE OF SOUTH DAKOTA 1 (Corporate Officer) ;
County of Minnehaha ss
On this day of 19_, before me, the undersigned officer,
personally appeared Joe P.Kirby who acknowledged himself to be the aforesaid officer of
WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, ;
executed the foregoing instrument for the purpose therein contained, by signing the name of the corporation by
himself as such officer. ;
IN WITNESS WHEREOF, I have hereunto set my hand and official�seal.
+. + VJ
r a.TIIUMAti ),
e6SOPUBLIC
�L
SOUTH
OAROTA
,;2 J p
.�,,,, ) Notary Public, South Dakota
Form 849—12.81 +
m
ACKNOWLEDGMENT OF PRINCIPAL
,
(Individual or Partners)
STATE OF
ss
County of
On this day of 19_,before me personally appeared
,
,
e
,
known to me to be the individual— described in and who executed the foregoing instrument and
,
acknowledged to me that_he_ executed the same.
My commission expires
19_
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
(Corporate Officer)
STATE OF
ss
County of
On this day of 19_,before me,
personally appeared who acknowledged himself to be the
of , a corporation,
and that he as such officer being authorized so to do, executed the foregoing instrument for the pur-
poses therein contained by signing the name of the corporation by himself as such officer.
My commission expires
19_
Notary Public
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