HomeMy WebLinkAboutMiscellaneous - 107 CAMPION ROAD 4/30/2018 (2) 107 CAMPION ROAD _
'- 210/062.0-0080-0000.0
1
II
f
1�
i
i
i
i
I
Add ress lb,.2 C P 2 C,At �p Title of File
Page of
Date File open: Date fele closed:
Doc Document/Action Title
action Date of Refer to other Purpose of Document/Action an
Document/ document/ d notes
Num. Action Department
---
Board of APPeals — Board of Health - Planning Board _ Conservation Commission — Building Departn7en�t
`� G
t
FORM U.
TOWN OF NORTH ANDOVER
• 1
LOT RELEASE FORM
SUBDIVISION
Y..
ASSESSORS MAP ;
SUBDIVISION LOT(S) �o�/f &alo)'21_1 ( ad
PERMANENT, ADDRESS (ASS NEVBY D.P.W.
STREET CL /` o fi
APPLICANT Z_ PHONE MC-)•-t,/
DATE OF APPLICATION '.
TOWN USE BELOW THIS LINE
PLANNING BOARD
DA'T'E APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION COHRISSION
DATE APPROVED
-CONSERVATION ADMIN. DATE REJECTED
BOARD OF HEALTH
DATE APPROVED /O/Z3Q/
Hi:AL 'tl ANI t AN DATE REJECTED
7p fP' E �o.�val6CT�l�
/CD. SEccJE2 ,`
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and 11ealt11 boards,
the Conservation Commission prior to the issuatice of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
i 111111111111111111111i
Code End
PU3 apo