HomeMy WebLinkAboutMiscellaneous - 10 IRONWOOD ROAD 4/30/2018FO{u1 U
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
SUBDIVISION 01/6
ASSESSORS MAP 1 Oj+ — C
SUBDIVISION LOT(S)
PERMANENT ADDRESS
STREET
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ASSIGNED BY U.Y.W.
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APPLICANT PHONE G %%— % ? -S 0�! - �= �` 7
DATE OF APPLICATION w ��— C� 1
TOWN USE --B E—L-0W T1 -11S L114E
CONSERVATION.COMMISSION
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CONSERVATION ADMIN.
DA T" APPROVED �7—
DATE REJECTED
BOARD OF HEALTH
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DEPARTMENT OF PUBLIC WORKS
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
DRIVEWAY PERMIT 0.k P.."—: h ,�..,Ai
SEWER/WATER CONNECTIONS
FIRE DEPT. l'1 4, & ixt+ t
RECEIVED BY BUILDING INSPECTION
DATE
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This form shall be signed by the agents of the Planning and IleaJ_th 11mirds,
the Conservation Commission prior to the issuance of any building; pern,Lts
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.