HomeMy WebLinkAboutApplication - 7 OLYMPIC LANE 4/23/2015 %AoRTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION -
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Permit No##: �ssAcl9u`d��
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TYPE OF IMPROVEMENT PROPOSED USE Non- Residential
Residential
❑ New Building ❑ One family ❑ Industrial
❑Addition ❑Two or more family ❑ Commercial
Alteration No, of units:
❑ ❑Assessor Repair, replacement Y Bldg
❑ Demolition ❑ Other ,
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Wetlands r❑ Watershed D►str�ct
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DESCRIPTION OF V110s,., TO BE PERFORMED:
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jdentification- Please Type or Print Clearly �� 5(r � �
OWNER hlam klli lDa” >a d�v.aY��� �1 Pae «,� Phone ��
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑
Swimming Pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on 1
Signature- -
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COMMENTS CK,' �� �O `
HEALTH Reviewed on Signature /1
COMMENTS c c� L _
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature: Located 384 Osgood Street
FIRE DEPARTMENT Ternp Dumpster
Located a;124 11o,
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Fire Department signatureldz"
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