HomeMy WebLinkAboutMiscellaneous - 481 REA STREET 8/23/2000 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.
APPLICANT ��t c� 1�C��vu2�� PHONE 7 q q-�6 ,Z7
ASSESSORS MAP NUMBER LOT NUMBER
SUBDIVISION LOT NUMBER '
STREET � "`' � STREET NUMBER
OFFICIAL USE ONLY
RECOMMENDATIONS OF TOWN AGENTS
••••••••••••••
DATE APPROVED
••
CONSERVATION ADMINISTRATOR
DATE REJECTED
COMMENTS
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DATE APPROVED
TOWN PLANNER
DATE REJECTED
COMMENTS
DATE APPROVED
FOOD INS CTOR-HEALTH DATE REJECTED
DATE APPROVED a u
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8' ,C VSPECTOR-HEALTH -
DATE REJECTED
COMMENTS Z11 Ln,>5� /Yh �i=-�`�,1;/� � t�! S��4-J all
OF
PUBLIC WORKS-SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR DATE
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