HomeMy WebLinkAboutMiscellaneous - 40 EQUESTRIAN DRIVE 9/28/1994 Z2 _
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant -faills out this section*****************
APPLICANT: �/���i0` � c,/u f7i✓��Ji/ Phone
LOCATION: Assessor' s Map Number IO ig'' Parcel Ak�
Subdivision Lot(s) /-M
Street / / / St. Number 44 _
************************Official Use Only************************
RECOMMEND ONS OF TOWN AGENTS:
(� Date Approved
onse vation Administrator Date Rejected
Comments
1,g Lois-?Q-1 D Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Ins/pe�ctor-Health Date Rejected
Date Approved o2
Septic Inspector-Health Date Rejected
Comments
Public Works - sewer/water connections
- drive ay permi 1�7 l[f Fire Department
Department
Received by Building Inspector Date
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