HomeMy WebLinkAboutMiscellaneous - 84 ELMCREST ROAD 4/30/2018 (2)m
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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 4-�z- ffills out this section*****************
APPLICANT: E=l �1 Phone e-�
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street �Ll�/G��� /t,1� , St. Number
************************Official Use only************************
RECOM@ENDATIONS OF TOWN AGENTS:
TA 6�0 Date Approved Z
Conservation Administrator Date Rejected
Comments
Town Planner
Comments
Date Approved e
Date Rejected
IAA ANA 0q7
Date Approved
Health A►pl AP Date Rejected
Commentsgen uv � wv
Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector Date