HomeMy WebLinkAboutMiscellaneous - 684 SALEM STREET 4/30/2018 (2) 684 SALEM STREET
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II - LOT, RELEASE FORM
w G i is used to verify that all necessary
4oards and Departments having jurisdiction
.s does not relieve the applicant and/or
;e with any applicable local or state law,
nts
it fills out this section*****************
Phone
tp Number CD Parcel �IJV
Lot(s)
St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
1 Date Approved 1
Town Planner Date Rejected
Comments
Date Approved
Food Inspeector-Health Date Rejected
/J /i' Date Approved ='A'-5 r
Septic Inspector-Health Date Rejected
Comments A)r- 'r} i'/ti1CT�t ' C%,�� /C/�r /�E% X ebl- 5
Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector Date
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**************�*1**
APPLICANT: �C /� �G. Phone � =�0Z39/
LOCATION: Assessor' s Map Number CD Parcel 171
Subdivision Lot(s) / Q
Street St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved 1
Town Planner Date Rejected
Comments
Date Approved
Food Inspeectyo�r-Health Date Rejected
� Date Approved
Septic Inspector-Health Date Rejected
Comments ItIr
Public Works - sewer/water connections
/ - driveway permit
Y Fire Department � e
Received by Building Inspector Date
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STATEMENT
DANIEL A. GIARD
130A Appleton Street
NORTH ANDOVER, MA 01845 DATE
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Phone 686-7653
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TERMS:
` PLEASE DETACH AND RETURN WITH YOUR REMITTANCE $
9NVOICE NUMBER/DESCRIPTION CHARGES; t CREDITS: BALANCE l
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}� BALANCE FORWARD
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