HomeMy WebLinkAboutMiscellaneous - 282 BLUE RIDGE ROAD 4/30/2018 (2)m
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FORM U - LOT RELEASE FORK
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 local or state law,
regulations or requirements.
****************Applicant fills out this section**************
APPLICANT Phone
: L21il
LOCATION: Assessor's Map Number Parcel
Subdivision ot (s)
L
Street St. Number
************************Official Use only************************
RECOMIENDATIONS OF TOWN AGENTS:
conservation Administrator
Comments
Town Planner
Comments
106�,
th Agent
Comments
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Public Works - sewer/water connections
- driveway permit P14 �UA-A Z4 Lt �4 C�Mgit 4
Fire Department
Received by:Building Inspector Date