HomeMy WebLinkAboutMiscellaneous - 44 STAGE COACH ROAD 4/30/2018 (2) r r� _
ROAD
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FORt-I U
TOWN OF NORTH ANDOVER
LOT RELEASE FORI.1
SUBDIVISION
ASSESSORS MAP
SUBDIVISION LOT(S)
PERMANENT ADDRESS (ASSIGNED BY D.P.W.
STREET
APPLICANT o S (P Ra r PIIUNE
DATE OF APPLICATION
TOWN USE BELOW THIS LINE
PLANNING BOARD
DATE APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION COMMISSION
DATE APPIZOVEU
CONSERVATION ADMIN. DATE REJECTED
BOARD OF HEALT
DATE nPPRovED 2 ?r
HEALTH SANITARIAN DATE REJECTED
al 7ZY-X/
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall tie signed by the agents of tl►e Planning and Health hoards,
the ConservationllCommission prior to the issuance of any building perml.ts
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.