HomeMy WebLinkAboutApplication - 89 WINDSOR LANE 6/5/2001 INSTRUCTIONS- This form is used to verify that all-necessary approval/permits from
Boards.and Departments having jurisdiction have been obtained. This.does not relieve the
applicant and or landowner from compliance with any applicable requirements,
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APPLICANT Jf � 1 �' PHONE
ASSESSORS MAP NUMBER v LOT NUMBER
SUBDIVISION LOT NUMBER
STREET (� (HIV STREET NUMBER
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RECOM2�NDATIONS OF TOWN AGENTS
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DATE APPROVED
CONSER VATION ADMWISTRATOR
DATE REJECTED
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DATE APPROVED I
TOWN PLANNER
DATE REJECTED
COIvIlv1EN I S
DATE APPROVED
FOOD INS -HEALTH DATE REJECTED
DATE APPROVED. �(�/
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PUBLIC WORKS-SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
COMMENTS
RECEIVED BY BUII,DING INSPECTOR DATE
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