HomeMy WebLinkAboutBuilding Permit #169 - 71 CORTLAND DRIVE 9/1/2006 oNORT:,�
TOWN OF NORTH ANDOVER
.. = APPLICATION FOR PLAN EXAMINATION
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Pcrrnit NO: y Date Received:
Date Issued:
UMPORTANT: Applicant must complete all items on this page
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LOCATION
PROPERTY OWNER Mie .l)' ��pyLPrintS LLC
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MAP NO.: I by C PARCEL: 3) ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
,_XNew Building 5(One family
❑ Addition ❑Two or more family ❑ Industrial
❑ Alteration No_ of units:
❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial
❑ Demolition
❑ Moving(relocation) ❑ Other ❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
Identificaation Please Type or Prin Clearly) c,
OWNER: Name: 1 l?rvwn IJ�C4 Phone: l71-69 Z 6 3SJ
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,,kddress: ( Iacko
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CONTRACTOR Name: Phone: 7 -z6
kc1dress:17- 1 14}>
Supervisor's Constntction Licerise: 7 Exp. Date: �/ s U
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1"Iofne Inipr(ltierncnt Llccnse:_ \� Fxp. Date:
\R.Clll'CECTiE:NGF`dFER D ��} " Name: Phone:
Address:_ r,CgN�
f,'F.E,SCIIIiD(iLE: R(%LDI;vG PF,Rib1fT.-S10.00 PER.SIIIOO. O OF TIIE TOT I/_
` fi "T16G!"F'FD COST R,i,SED OrV.SIZi.dO PER S.F.
otal Pro acct �_�>�t :.S 2, �S� 0 x rLC61)60 x it.00-FFE:$_�3 .t l 0 -
Receipt No.:.----------- '1'1 V7 -