HomeMy WebLinkAboutMiscellaneous - 29 COLONIAL AVENUE 4/30/2018 (7)FORX U - LOT RFJAEASE 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 local or state law,
regulations or requirements.
****************Applicant
fills
out
this section*****************
APPLICANT: 6U41JI(5
I
:[AC,
Phone 05-83ec
LOCATION: Assessor's Map Number
Subdivision WOOJ 1QAJ ES�atf_cj
Street colon.IJ ha
ficial
RECOMMENDAT7 0 ENTS:
Conservation Administrator
Comments
L o7�, CxLau
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Parcel
Lot (s) �61
St. Number
use only************************
Public Works - sewer/water connections
- driveway permit
Fire Department
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved o -j
Date Rejected
Received by Building Inspector Date