HomeMy WebLinkAboutMiscellaneous - 26 LONG PASTURE ROAD 1/31/2001 FORM - U - LOT RELEASE FORM '
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 LJ �C����� C �� -��`� PHONE �� �7
ASSESSORS MAP NUMBER LOT NUMBER
SUBDIVISION �' �' U-; � LOT NUMBER
STREET �' `J� STREET NUMBER
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OFFICIAL USE ONLY
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RECOAQvIENDATIONS OF TOWN AGENTS
DATE APPROVED
CONSERVATION ADMINISTRATOR
DATE REJECTED
COMMENTS
DATE APPROVED
TOWN PLANNER
DATE REJECTED
CONMIENIS
DATE APPROVED
FOOD INSCTOR-HEALTH DATE REJECTED
// -� DATE APPROVED
SEM SPECTOR-HEALTH
DATE REJECTED
COMMENTS Ocr i X
PUBLIC WORKS-SEWER/WATERCO INEC NS j 30-,f:>/
DRIVEWAYJ�ERMIT
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR DATE