HomeMy WebLinkAboutMiscellaneous - 205 MASSACHUSETTS AVENUE 4/30/2018 (2)Location a A4 -5 S J7 L' 'e -
No. Date
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TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
Building/Frame Permit Fee
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Foundation Permit Fee $
Other Permit Fee I�C� L$
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Sewer
Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
32'15 3.00 �1�
06/23/99 14:09 Div. Public Works
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FORM U - LOT RELEASE 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 applicable or requirements.
APPLICANT FILLS OUT THIS SECTION
APPLICANT Dice I\ 01�m V�
LOCATION: Assessors Map Number l
SUBDIVISION
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LOT (S)
ST. NUMBER 010,S7
OFFICIAL USE ONLY"" n
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RECOMMENDATIONS OF TOWN AGENTS: - I� 5Ide.�z^,:�
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ERVATION ADMINISTRATOR
COMMENTS M6 i 1 5 (A/I I1
DATE APPROVED
DATE- REJECTED
PLANNER DATEA{PPROVED
r1� DATE REJECTED
MMENTS
FOOD INSPECTOR -HEALTH
SEPTIC INSPECTOR -HEALTH
COMMENTS
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
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