HomeMy WebLinkAboutMiscellaneous - 60 ROCKY BROOK ROAD 4/14/1998 FORM U - LOT RELEASE FOR
INSTRUCTIONS: This form is used to verify that all necessary a r
Boards and "`°�artments having jurisdiction have been obtained. l�h ovals/ r. from
th® applicant and/or landowner from compliance with any applicable d S n®t relieve
or requirements.
**' * APPLICANT FILLS OUT THIS SECTION .
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PLICANT
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LOCATION: Assessors Map Number
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*******"OFFICIAL USE ONLY
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR
DATE APPROVED
DATE REJECTED
COMMENTS
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSP!�PTOR-HEALTH •++
GATE APPROVED
DATE REJECTED
TIC I PECTOR-HEALTH
DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS -SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR
DATE
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