HomeMy WebLinkAboutCorrespondence - 160 FLAGSHIP DRIVE 12/2/1997 FORM U m 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 or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION
APPLICANT C�,#/V/V,9,4 � 01_161A, o Co, sit/c. PHONE 7 1?
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LOCATION: Assessors Map Number PARCEL 7
SUBDIVISION I �
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fl-d(IDVY2259 1-30,514)859 ji9gK LOT (S) 2 fl
jSTREET ST. NUMBER 160
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OFF AL USE ONLY
F RECOM DATI S OF G TS: "
CONSERVATIO ADMINIST OR DATE APPROVED
DATE REJECTED
j COMMENTS
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TOWN PLANNER DATE APPROVED
DATE REJECTED
i COMMENTS —
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
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! PUBLIC WORKS - SEWER/WATER CONNECTIONS � �//%1 S' l S5
DRIVEWAY PERMIT r�- ,
&--FIRE DEPARTMENT G� Zr �
RECEIVED BY BUILDING INSPECTOR DATE