HomeMy WebLinkAboutMiscellaneous - 177 HICKORY HILL ROAD 4/30/2018 (2)N
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SUBDIVISION
ASSESSORS MAP
FORM U
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
SUBDIVISION LOT(S) I�
PERMANENT ADDRESS A SIGNED BY U.P.W.
STREET, 1 c t
APPLICANT T � nmcLs D Za ko ai PHONE SQA 73" I l 67
DATE OF APPLICATION
TOWN USE BELOW THIS LINE
PLANNING BOARD
CONSERVATION COMMISSION
CONSERVATION
BOARD OF
TARIAN
DEPARTMENT OF PUBLIC WORKS
D• ,
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BU;LDING INSPECTION
DATE
DATE APPROVED
DATE REJECTED
DATE PROVED
1) " REJECTED
9
DA'Z'E APP11OVE.D
DATE REJECTED
This form shall be signed by the agents of the Planning and health Boards,
the Conservation Commission prior to the issuance of any building; pernilts
for the subject, lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
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