HomeMy WebLinkAboutApplication - 54 LONG PASTURE ROAD 12/22/2000 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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AUB MLOT iASSESSORS MER 3ER
SUBDIVISION LQT NUMBER c
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STREET STREET NUMBER
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OT'FIC, USA ONLY
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RECOMNfEND,ATIONS OF:TOWN AGENTS �>
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DATA APPROVED
CONSERVATION ADNIIN7STRATOR
DATE REJECTED
�CONRAENTS
DATE APPROVED
TOWN PLANDR
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DATE
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FOOD INS OR TH DATE;REJECTED;,
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CONIIv1EN£S �
PUBLIC UyORKS=SEWER/WATER CONNECT S
DRIVEWAY PERMIT'
DATEAPPROVED
PIKE DEPARTMENT
DATE'REJECTED
CONMEN"TS
RECEIVED BY BUILDING INSPECTOR DATE
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