HomeMy WebLinkAboutMiscellaneous - 35 CHERISE CIRCLE 9/6/1994 FORM N - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jux-isdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or „state law,
regulations or requirements. i
*************�****Applicant fills out this section*****************
APPLICANT: \ C(� C uyu- — l C Phone 7, -V 0`7 IV
LOCATION: Assessor' s Map Number ,�}-- Parcel
Subdivision �/�%���'� /�_ Lot (s) ( �
Street Ci L( P G�� � St. Nurser 6
************************Official Use Only************************
RECD NDATIONS _Pff TOWN AGENTS:
Date Approved
Co ery ion Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspectorr-Heeaalth Date Rejected
Date Approved
Sept--, c Inspectoorr-Health Date Rejected
Comments
Public Works - sewer/water connections _ -,�¢
- driveway permit
Fire Department
Received by Building Inspector Daze
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