DATE:
(Stamp two (2) forms with the Town Clerk. File one (1) form with the Town Clerk and one (1) form with the Planning Board.)
To the Planning Board:
The undersigned, believing that the accompanying plan of property in the Town of North Andover, Massachusetts, does not constitute a subdivision within the meaning of the Subdivision Control Law, herewith submits said plan for a determination and endorsement that the Planning Board approval under the Subdivision Control
Law is not required.
1. Name of Applicant: ___________________________________________________
Address: ______________________________________________________________
2. Location and Description of Property [include Assessor's Map and Lot and Zoning District(s)]: ______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3. Deed Reference: Book._________, Page ___________
or Certificate of Title: __________________________________
4. Name of Surveyor: __________________________________
Address: ____________________________________________
____________________________________________________
Signature of Owner(s): _________________________________
Address: ____________________________________________
____________________________________________________
Please indicate the grounds (either A, B, C or D, not a combination) on which you believe your plan not to be a subdivision.
A. Each lot on the plan meets one of the following criteria:
1.Has the frontage, lot area, and lot width required under the Zoning By-law on:
_______ a) a public way, or
_______ b) a way which the Town Clerk certifies is maintained & used as a public way, or
_______ c) a way shown on a plan approved and endorsed by the Planning Board under the Subdivision Control Law, recorded in Plan Book _________ Plan _________, or
_______ d) a way in existence before the adoption of the Subdivision Control Law by the Town and which the Board finds adequate for the way's proposed use, or
_______ e) a way shown on a plan of a subdivision recorded at the Registry of Deeds or the Land Court prior to the adoption of the Subdivision Control Law.
B. Each Lot has been clearly marked on the plan to be either:
a) joined to and made part of an adjacent lot, or
C. Each lot on the plan contains a building which existed prior to the adoption of the Subdivision Control Law.
D. The plan shows an existing parcel with no new lot division(s) and has frontage on a way described above.
Received: Town of North Andover Town Clerk (date stamp):
________________________________________________
Signature of Town Official receiving this application:
________________________________________________
