HomeMy WebLinkAboutMiscellaneous - 74 FULLER ROAD 4/30/2018w
Location %
No. f I D Date J-6�
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Per it Fee, $
Othera ermit Fee -ate( $
Sewer Connection Fee $
14Water Connection Fee $
TAL $
L," -
Building Inspector
Div. Public Works
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FORM U - IAT 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************(*�****
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APPLICANT: Oy/,S 4 S e, f �- ii- Phone 6,704 ( ��
LOCATION: Assessor's Map Number
Subdivision
Parcel
Lots)
Street �11=VLL -1 �'c l� GQ 1✓y.��% St. Number
************************Official Use Only************************
`RRECOMMENDATIONS OF TOWN AGENTS:
v �- Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected"
Comments
Date Approved
Food Inspector -Health Date Rejected
,2 �/1/✓) Date Approved /
Septic Inspector -Health Date Rejected
Comments Q.0 /--Dk Slc)Ilv�M/iU 6 '—I OO& /N 7Fe O '
Public Works - sewer/water connections
driveway permit
Fire Department
Received by Building Inspector Date
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