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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 fills out this segtion*****************
APPLICANT: ,
Phone
LOCATION: Assessor' s Map Number A) 6 Parcel
Subdivisionni,_r, � Lot(s)
Street 7CC GCS
St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Conservation Administrator Date Approved Date Rejected
Comments
Town Planner Date Approved
Date Rejected
Comments
Food Ins ector-Health Date Approved
Date
Rejected
Date Approved
3e s nspecto r-Health Date Rejected
Comments
i
Public Works = sewer/water connections
- driveway permit 7 Z 7
KIJ
Fire Department
Received by Building Inspector Date
.. FORM U - LOT RELEASE FORM :-
INSTRUCTIONS: This form is used to verity that all nec:.ssary approvals/permits from-
Boards and Departments having jurisdiction have been obtained. This dces not relieve
the applicant and/er landowner from compliance with any applicable or requirements.
AFrLICANT F1LLS OUT THIS S�CT10�1��'`*'"''`�"`"'*�" �
aPPUCANT ;��o��l�� Conn (X9 �V)C PHCNE
LOCATION: Assessors iMGO Numcer 15 Lncl `"SA-Dcc PARCEL
SUEDIVISICN Lof)q puyvc CS�CLk3 LOT (S) _
STREET GJ' c1C\ ST. NUMEER
OFr=1C1AL USE ONLY
RECOMNIENOATIQNS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED i� )
DATE REJECTED
COMMEN I
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATEAPPROVED
_ DATE REJECTED
SEPTIC INSPECTOR AF-ALTH DATE APPROVED
DATE REJECTED -
COMMENTS
WORKS SENErPiWATER CONNECTIONS
pUELIC NCRKS
DR1VE'NAY P RMIT
F1FE_DEPARTMENT 6 ,
RECEIVED EY EUILGING i11\ISPECTCR DATE
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