HomeMy WebLinkAboutApplication - 863 WINTER STREET 10/19/1994 Town of North Andover, Massachusetts Form No.2
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aowrH BOARD OF HEALTH
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b,,. DESIGN APPROVAL FOR
,SS "°SE,� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No.
Site Location (R�UyCW w G
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Reference Plans and Specs. rY /24 z
ENGINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN,BOARD OF HEALTH
Fee G o Site System Permit No.
DATE q r ��,� Z _.
5 i . Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT # 't'!' DATE RECEIVEDf�/'�/��=
APPLICANT DQJ66/7 % ASSESSOR'S MAP_
ADDRESS PARCEL # CSC ,c 0 7
LOT #
ENGINEER
STREET
�/-��'��;���c�ly,�/�
ADDRESS �� /'�O T�r7 /Uf. i���` / r'J 6 LZ� .
PLAN DATE � REVISION DATE
CONDITIONS OF APPROVAL: 7
APPROVED `
DISAPPROVED