FORM D: APPLICATION FOR MODIFICATION TO A PREVIOUSLY

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F O R M D : :

A P P L I I C A T I I O N F O R M O D I I F I I C A T I I O N T O A

P R E V I I O U S L Y A P P R O V E D D E F I I N I I T I I V E

S U B D I I V I I S I I O N P L A N

Application Date:

Received by Town Clerk

, 20

As of May 20, 2015 the Easton Planning Department has transitioned to online permitting. ALL applications to the Easton

PLAN BELIEVED NOT

To submit an application, logon to the Town of Easton website at www.easton.ma.us

. Select Boards and Committees. Scroll down to M-Z and select Planning & Zoning Board. Under Applications, click the link to submit the application. If you are a first time user, you will need to Registry first, then login with the username and password you created to enter and submit the

TO REQUIRE APPROVAL

application. Once you have completed the online application, including uploading of plans and/or documents and paid the filing fee, submit two sets of plans to the Planning & Zoning Board.

TO: Easton Planning Board:

The undersigned, being the owner of all remaining land included within the subdivision entitled: shown on the accompanying plan(s) numbered: dated , 20 , and prepared by (P.E. or Surveyor) herewith submits said plan as a Modified Definitive Plan containing all the information required by the Subdivision Control Law and the Rules and Regulations Governing the Subdivision of Land of the Planning & Zoning Board in the Town of Easton and makes application to the Board for the approval of said subdivision.

1.

Applicant’s Name

2.

Name of Engineer

Owner’s Name

Name of Surveyor

Engineer’s Address Surveyor’s Address

Engineer’s phone number

Zip:

Surveyor’s phone number

Zip:

3.

Deed of Property Recorded in

4.

Assessor’s Map Reference: Map:

County Registry, Book

Lot:

Page (Submit copy of deed.)

5.

Location and Description of Property:

6.

The abutter’s list, certified by the Assessor’s, must be filed with the application along with two (2) set of mailing labels.

7.

The following are all the mortgages and other liens, restrictions, easements, covenants, and encumbrances on the whole or part of the above described property:

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F O R M D : : A P P L I I C A T I I O N F O R M O D I I F I I C A T I O N T O A P R E V I I O U S L Y A P P R O V E D

D E F I I N I I T I I V E S U B D I V I S I I O N P L A N

The undersigned hereby covenants and agrees with the Town of Easton upon approval of the Definitive Plan:

1.

To construct the ways and install the municipal services as finally approved by the Planning & Zoning Board.

2.

To design and construct the ways and design and install the municipal services in accordance with the Rules and Regulations

Governing the Subdivision of Land, Town of Easton, Massachusetts, with the requirements of the Easton Board of Health and other appropriate departments and with the Definitive Plan and its accompanying material as finally approved by the

Planning & Zoning Board.

3.

At the laying out and acceptance of said ways, all municipal services within the ways will become the property of the Town of Easton at no cost to said Town, unless otherwise agreed upon.

This agreement shall be binding upon the heirs, executors, administrators, successors, and assigns of the undersigned.

Applicant’s Name

Applicant’s Signature

Applicant’s Address

Applicant’s phone number

Zip:

Applicant’s email (optional)

Date Fee Received: Amount:$

Owner’s Name

Owner’s Signature

Owner’s Address

Owner’s phone number

Owner’s email (optional)

Zip:

Received By:

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