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Home My WebLink AboutMiscellaneous - 141 MARIAN DRIVE 6/16/1992 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)I out this section***************** APPLICANT: _JO`n n m.'}'JU�U S . WuY�s Phone [V t-.6 U q0 LOCATION: Assessor's Map Number Parcel Subdivision \ Lot(s) Street l:�1 1 On 0�►'►G n ll ►', St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments 1 '1 �l v Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date �1f d/F JAM Es, o'B fl,II-IJ . 4JAj- I LTo fJ TI E 5 dNJ Lo-(' q/i, LOT 913 744�z6,2 .5.F' �n r� IJ/F AH UIJDSELI (Y COPY FOR YOUR 5 ItIFU((�911IIUPI s Lor lo. N/F CAVAOAUCd LoT 8 oat. 65'= S9 5 HA910� . SU6JEGY -TD EA.SEMEfJTS D�" REG+C>f�D. MORTGAGE INSPECTION PLC BUYER : (�of�oO GA.LDEI.I LOCATED IN �loRr+I A►J t�vEF TO TF{� fLF�DOVER. I�S ANO IfS TITLE INSURERS MASSACHUSETTS I THEREBY CERTIFY THAT I HAVE EXAMINED THE PREMISES AND ALL EASEMENTS, ENCROACHMENTS AND BUILOINGS ARE LOCATED ON THE GROUND AS SHOWN, I FURTHER CERTIFY THAT THE BUILDING SHOWN 00( ZONING LAWS AND AMENDMENTS, Ls, (FRONT, SIDE B REAR YARD SET FBACK ONLY) OF WHEN CONSTRUCTED. I FURTHER CERTIFY THAT THIS PROPERTY IS LOCATED IN THE ESTABLISHED FLOOD HAZARD AREA . _NOTE THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY MARKERS OF OTHERS, AND DOES NOT REPRESENT DEED A PROPERTY SURyEy, EXAMINATION nr r.,.. _____ nnn.. I s c—., F OIUI U TOWN OF NORTH ANDOVER LOT RELEASE FOIUI SUBDIVISION ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT ADDRESS (ASSIGNED BY D.P.W. ,/STREET /APPLICANT PHONE /DATE OF APPLICATION TOWN USE BELOW THIS LINE PLANNING BOARD DATE APPROVED TOWN PLANNER DATE REJECTED CONSERVATION COHRISSION DATE APPROVED CONSERVATION ADi•1IN. DATE REJECTED BOARD OF HEALTH _ DATE APPROVED E T 1 I ARI DATE REJECTED DEPARTPIENT OF PUBLIC WORKS DRIVEWAY PER11IT SEWER/WATER CONNECTIONS -r la.. FIRE DEPT. RECEIVED BY BUILDING INSPECTION DATE This form shall be signed by the agents of the Planning and health Boards, the Conservation Commission, prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. 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 section***************** APPLICANT: ,ohm m"C c.e , c-° s Phone LOCATION: Assessor' s Map Number Parcel Subdivision Lot(s) street !Y /h a2 ) ft rJ (�) l 11 —S--t. Number ************************Official Use Only************************ MMIIJDATIONS OF TOWN AGENTS: G cfi Date Approved bey Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments I J i Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by -Building Inspector Date