HomeMy WebLinkAboutMiscellaneous - 220 ABBOTT STREET 5/16/2005 FORM U - LOT RELEASE FORM 9---
INSTRUCTIONS: This form is used to verify that all necessary approvals/pem�"om
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or l.andowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION"****",*,
APPLICANT-
PHONE
LOCATION: Ammaes Map Number
PARCEL
SUBDIVISION LTD
STREET- J iy ST. NU MBER ' 7"4DO
OFFICIAL USE ONL
,� E 2D,
REC ENDATIONS ,.TOVM AGENTS:
CONSERVATION ADMINIST OR DAT,E APPROVED
7 DATE REJECTED_--:.;tj7EE=
COMMENTS Rg�
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD 1 H DATE APPROVED
DATE REJECTED
' SEPTIC INSPECTOR-HEALTH DATE APPROVED
0 DATE REJECTED
COMMENTS
PUBLIC WORKS -SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR`��.
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