HomeMy WebLinkAboutMiscellaneous - 585 SOUTH BRADFORD STREET 4/30/2018 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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: Phone b �J
LOCATION: Assessor's Map Number v Parcel
Subdivision Lot(s) /
Street St. Number 555
************************Official Use Only************************
RECOW4ENDATIONS OF TOWN AGENTS:
�WA7 Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments Q11 dYl r�t'e
• Date Approved
"`Food nspector-Health Date Rejected
�Inspector-Health
Date Approved
Septic Date Rejected
Comments
Public Works - sewer/water connections 14 �✓ fi(/ �-� -�j3
- driveway permit
' e D artment tL ""ez
rf, F Received by Building Inspec or Date
MAY 2 7
Y / T ~