HomeMy WebLinkAboutMiscellaneous - 145 BEVERLY STREET 4/30/2018 (2) -------------------
/ 145 BEVERLY STREET
/ 210/005.0-0057-0000.0
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FORM - U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT /7/ ' ' �"�' � PHONE �=3
ASSESSORS MAP NUMBER LOT NUMBER
SUBDIVISION LOT NUMBER
STREET iSe""�- fir'—` / STREET NUMBER
.......................a................. .................. ..■ ... .0
,.......................... OFFICIAL USE.ONLY....... ...... ./.. .v-�� '
RECONWENDATIONS OF TOWN AGENTS
DATE APPROVED
CONSERVATION ADMINISTRATOR
DATE REJECTED
CoNf L IS
DATE APPROVED
TOWN PLANNER
DATE REJECTED
COMMENTS
DATE APPROVED
FOOD IIVSPE,CTOR-HFALTH DATE REJECTED
DATE APPROVED
SE,PtIC-R19PECtbR-HEALTH
DATE REJECTED
COMMENTS
PUBLIC WORKS-SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
COMIviENTS
RECEIVED.BY BUILDING INSPECTOR DATE
Address /46—13
Y TTitle of File
Page o-F
Date File apen: fm Date e closed:
Doc Document/Action Title Date of kefer to other Purpose of Docurnennt/Action and note
action Document/ document/ s
Num. Action Department
Board of Appeals — Board.of Health — Planning Board — Conservation Commission-: Building De art
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