HomeMy WebLinkAboutMiscellaneous - 60 WINDSOR LANE 4/30/2018 (2)qflt -21-
FORM - U - LOT RELEASE FORK[
INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT 5i) PHONE
ASSESSORS MAP NUMBER /06 LOT NUMBER
SUBDIVISION
7f
LOT NUMBER
STREET O (Al> �2 � L STREET NUMBER Z 0
.............................................. a ................} ... ■
OFFICIAL USE ONLY �� S 0 ..
RECONDAENDATIONS OF TOWN AGENTS
I..... .._ ................................................ -e....... ..........a
�' r, �' DATE APPROVED j i U
CONSERVATION ADMINISTRATOR
DATE REJECTED
COMMN
fob'
DATE APPROVED
TOWN PLANNER
DATE REJECTED
COMMENTS
DATE APPROVED
FOOD INSPECTOR - HEALTH DATE REJECTED
z z �) DATE APPROVED G O
v SEPTIC INSPt TOR - HEALTH '
h I,, DATE REJECTED ,L
COMMENTS -AL L ep L, Y �� Y 1 i�' (r -_,S O u C- r—
PUBLIC WORKS - SEWER / WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR DATE
Gas � 3
Job N0. _..::1.
j
This plan was not prepare c+ from an instrument.
surve . ,
y Offsets and dlsta;.�.� s shown should nol
be used to establish proper!;• lines.
This plan is intended for rnrn•t.;:; cg, c -purposes
only,
1 certify that the structure _�n,�..vn cn this
Plan • in conformanc Mth ',�e zoning
setbacks in effect at the time .', f cor .;tr,:r►ia,-i.
I certify that the parcel shown is..-��
located within a flood hazard are•:'a.s -.'opictod
on FEMA Flood Insurance Rate Nla.�s `or -
community No:ar
H Of
c�
PAUL
J.
r
-e
MORTGAGE LOAN INSPECTICJN
LOCATION: -(go
SCALE: , DATE:-- :2
"E GISTRY: • E��Sc*�
T11 t E REFERENCE: � ��� •�; 2.20.:..
PLA! REFER EN
COREY DONAHUE, INC.
�nrinccrs S Suzy, yors
;A8 Cambrid�c Itoncl, Woh+�rry ht/t Q180I