HomeMy WebLinkAboutApplication - 51 LONG PASTURE ROAD 12/22/1999 L L _FORM U ® LOT �: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 or requirements.
****** **** **** ******** *AFPLICANT FILLS OUT THIS SECTION***********************
APPLICANT 61,,(-L r0 61J r --e PHONE
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LOCATION: Assessor's Nlap Number PARCEL
SUBDIVISION C&)Q D �2. �- a- ' LOT (S)
STREET J_/ OV fyhure &L ST. NUMBER
USE
RECOMMENDATIONS OF TOWN AGENTS: N ek4 44 e7
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CONSERVATION ADMINISTRATOR DATE APPROVED L
DATE REJECTED
COMMENTS �t.1 1'4 �rl'
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TOWN YUNNER DATE APPROVED Za I�
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
I INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
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PUBLIC WORKS -SEWER/WATER CONNECTIONS L9k -��7 –<
DRIVEWAY PERMIT
FIRE DEPARTMETIT (°� 7�wc �1"G i y A
RECEIVED BY BUILDING 1NSPECTCR DATE
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