HomeMy WebLinkAboutMiscellaneous - 796 CHICKERING ROAD 4/30/2018 (2)IIS
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SUBDIVISION
ASSESSORS MA
FORM U
TOWN OF NORTH ANDOVER
LOT RELEASE FOIA
SUBDIVISION LOT(S) �, C) I 1XD
PERMANENT ADDRESS (ASSIGNED BY nD.P.W. --
STREET 01_rIc_2_t-_�yn K nn rt
APPLICANTr PHONE ��� D3 - 4 q -71 a,
DATE OF APPLICATION (1 �� . l CI q I
PLANNING BOARD
TOWN PLANNER
CONSERVATION COMMISSION
CONSERVATION ADMIN.
BOARD OF HEALTH
HEALTH
TOWN USE BELOW THIS LINE
ITARIAN -10 '�3E 4ZWaC=r7-C-12
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DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT Z1 -
SEWER/WATER CONNECTIONS
FIRE DEPT. gem !- X06-, a,
RECEIVED BY BUILDING INSPECTION
DATE
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED J—Z 2,%F;
DA'Z'E REJECTED
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This form shall be signed by the agents of the Planning and Health Hoards,
the Conservation Commission prior to the issuance of any building; permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.