HomeMy WebLinkAboutMiscellaneous - 594 BOXFORD STREET 8/4/2003 FORM U - L T_ RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fro,
Boards and Departments having jurisdiction have been obtained. This does not reliev
the applicant and/or landowner from compliance with any applicable or requirements.
APPLICANT FILLS OUT THIS SECTION*
APPLICANT A, PHONE IL7,0 t Z�3 f,,,6e
LOCATION: Assessor's Map Number /V3 PARCEL (/4 7
SUBDIVISION f� L LOT(S)
STREET, � leglet1 �7 'f- ST.NUMBER �1
************************** ********OFFICIAL USE ONLY************ ****** ******* ****
RECD ENDATIONS O T¢ N AGENTS:
CONSERVATION ADMI ISTRAT DATE APPROVED
DATE REJECTED
COMMENTS 4�
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED 0�3
DATE-REJECTED
COMMENTS
PUBLIC .WORKS-SEWERANATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
.3 T U E 1 S S S P _ 01 -----
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LOT 3A
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LOT 2A
87310 S.F.
2,00 Ac.
' 132.7'
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FV OVN o OqT� f' - 70,8'--.
87.8' �J9,pJH •.
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GORTON
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128.0
STEPHEN M,
MELESCIUC
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i 175.00 ,I
- BOXFORD STREET
WE HEREBY CERTIFY THAT WE HAVE EXAMINED
THE PREMISES AND THAT ALL APPARENT
j EASEMENTS AND ENCROACHMENTS ARE LOCATED
THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS
PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY
FROM EXISTING PLANS AND RECORDS j WHEN CONSTRUCTED. ALSO; ACCORDING TO THE .
WITH THE STRUCTURES SHOWN LOCATED F,E•M.A./H.V.D. FLOOD INSURANCE RATE MAP,
BY AN INSTRUMENT SURVEY. THIS PLAN COMMUNITY PjANEL NO. 250098 0009 C
SHOULD NOT BE USED FOR PROPERTY DATED 6/2/93, THE STRUCTURE IS NOT LOCATED
LINE DETERMINATION. IN AN ESTABLISHED. 100 YR. FLOOD HAZARD ZONE.
CERTIFIED PLOT PLAN
WT 2A BOXFORD STREET MARCHIONDA & ASSOC.,L.P.
NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS
PREPARED FOR 62 MONTVALE AVE. SUITE I
KERRY & BRYAN HANSSEN STONEHAM, MA, 02180
K4 BOXFORD ST (617) 438-6121
NORTH ANDOVER,..MASS, SCALE:1"a 50' DATE: 12/23/98