HomeMy WebLinkAboutMiscellaneous - 195 SUTTON HILL ROAD 4/30/2018 (2) 195 SUTTON HILL ROAD
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FORM U - VERIFICATION FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any ap]ilicable local or state law,
regulations or requirements.
****************Applicant f ' is out this section*****************
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APPLICANT: Phone
LOCATION: Assessor' s Map Number Parcel
Subdivision Lot(s)
Street ,Sl!� /�T< � St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
y;o / Date Approved
Conservation Administrator Date Rejected
Comments e GL- 1 > .� G
W
Date pproved `f �Oj
Town Planner Date Rejected
Comments
I
Date Approved
Food Inspector-Hea.1th Date Rejected
c
Date Approved
Septic-Inspector-Health Date Rejected
7 6 (' )
� Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector Date
No Co... _r.MA
Applicant: S E^ �'�5! .T y✓FF�So 1N t
Book 0
Scale:,
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lot
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eriificdTo: "/.�<h' "Sct,7:7! = L� �' / --
n mytirofassiunal opinion the•buildings--are approximately located on the ground as,'
,how(( hereon and conformer) to the applicable horizontal dimensional yard setback
equirements of the Zulning.,By=Laws of theW7.� - of Al;LG✓,-- at
he time of constructiorq. The . lot as shown does not tall within a.Special Flood
t
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1 iaiard Zone as delineated on the FEMA/FIA National Flood Insurance Program Map:
y No. ,�5- _Panel X Dated— Zone�_
arnoB C ✓s- I
ht5 ii.11C11 ,�y
was d swn a monpape inspedwn wrrbs.s only and u rwt to et r.00rded.a oorotrwa as an tnattlarnars +nay,e 1d 11 Trhnical fadrk Drive
Would De turthe+wVerstood mat N or.mstrumem survey n acoompkshwd at a tater date we will not be nmpory4N for ctA
',al otxur,Tttts F�p�tbrook, MA 02343 I
stspetlwnu based upon WChn"XW"rdg as adWW by"'MaaeaMuaaea A"O=tlon�Lwld ., fax (617 767-587,3
.urvvyoz ano Gvil npmeert IWC - - ;
oTE tew.aa a¢essay muaures are not mduded m v»ionn.p«rdfrC�Uon.(i.e..fNdc.abon Pound iwMmov MO ) Gdrl... '(617 � 67=1400
05/11/2000 15:57 5083736611 STEUJART/AtdDOVER. PAGE 02
AI,6(4h Alvwver 2-6. 4,
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BRADFORD, 1A 01835
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;v. 978-372-7471
MMM OF
MON"'Ly REPORT FOR T CWN OF f �:•.� ;
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Commonwealth of Massachusetts
North Andover, Massachusetts
System Pumping Record
System Owner& address:
Philip Tustin EHEALTH
195 Sutton HillNorth Andover, MA
2n0?
Location of system: Rear, Left Side
"Date of Pumping: September 7, 2007 ,J
Type of system: Pump Chamber
Gallons Pumped: 1000 Gallons
System pumped by:
Service Pumping& Drain Co., Inc.
5 Hallberg Park
North Reading, MA
License#: BHP 2006 0680, 0750, 0751, 0752, 0753, 0754
Contents transferred to: Greater Lawrence Sanitary District
Date: September 7, 2007 Pumping Technician: CC
This is PROPRIETARY and CONFIDENTIAL information that may be used only
by the Board of Health for regulatory purposes