Lenox Town Hall
6 Walker Street, Lenox, MA 01240
ph: 413-637-5500
Form F
COVENANT APPROVAL RELEASE

Lenox, Massachusetts
                                                        
_____________, 20_____
                                                        
The undersigned, being a majority of the Planning Board of the Town of Lenox, Massachusetts, hereby certify that the requirements for work on the ground called for by the Covenant dated____________, 20___ and recorded in the Berkshire Middle District Registry of Deeds, Book _________, Page _________, (or registered in___________________________ Land Registry District as Document No. ___________ and noted on Certificate of Title No. ___________ in Registration Book _________, Page ______) have been completed to the satisfaction of the Planning Board as to the following enumerated lots shown on Plan entitled___________________________________ ____________________, recorded with said Registry, Plan Book ______________ Page_______________ (or registered in said Land Registry District, Plan
Book _____________, Page___________) and said lots are hereby released from the restrictions as to sale and building specified thereon.
                                                        
Covenant Approval Release (Continued)

Lots designated on said plan as follows:
                                                        
_____________________________________________________
                                                        
_____________________________________________________
                                                        
_____________________________________________________
                                                        
___________ Majority of the _________________ Planning Board of the ______________ Town of Lenox
                                                        

                                                        
COMMONWEALTH OF MASSACHUSETTS
                                                        
BERKSHIRE, SS. __________________, 20______
                                                        
                                                        
Then personally appeared ______________ one of the above-named members of the Planning Board of the Town of Lenox, Massachusetts, and acknowledged the foregoing instrument to be the free act and deed of said Planning Board, before me
                                                        
________________________
                                                        
Notary Public

My Commission Expires:___________________