HomeMy WebLinkAboutMiscellaneous - 655 SOUTH BRADFORD STREET 4/30/2018 655 South Bradford Street _
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: d y/r ,7�'la i fl67 Phone -6L7.57- 2J'1!7
LOCATION: Assessor' s Map Number a "iO Parcel
Subdivision . lift)- ne4it, Lot(s)
Street 6miR �(�� Of" St.. Number
************************Official Use Only************************
RECOMMENDATIOONNS OF TOWN AGENTS:
Date Approved �-
Conservation Administrator Date Rejected
Comments
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Date Approved • 2--7. ,72-
T o
-7• ,77 _To n Plan er Date Rejected
Comments
r
l- � Date Approved
Health Ag nt Date Rejected
Comments
Public Works - sewer/water connectio
driveway permit cen,s�,LJL,,/# /K-ad1, k, S� ,/9
Fire Department ' , � �'' �✓ y .
Received by Building Inspector Date