HomeMy WebLinkAboutMiscellaneous - 85 HOLLY RIDGE ROAD 4/30/2018K)
FURM U
TOWN OF NORTH ANDOVER
LOT RELEASE FORri
;UBDIVISION
,SSESSORS MAP 1 ��
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BDIVISIO� LOT(S) (...n�' � _ ,�� �\'V Cry-- ��•—
PERMANENT ADDRESS (A:. xNED D.r.�
;TREET
APPLICANT
)ATE OF APPLICATION
(ti PHONE
Locationi---- ___ Date --
TOWN USE BEL No.
PLANNING BOARD
TOWN PLANNER
CONSERVATION COMLRISSION
CONSERVATION ADMIN.
BOARD OF HEALTH
9
H AL'Tti SANI�—A11
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERriIT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
M
NpltT/{ TOWN OF NORTH ANDOVER
•,' Certificate of Occupancy. I ;.
p Building/Frame Permit Fee $ �:
�''b+ ✓''tom Foundation Permit Fee
�Ss,Knuse $
Other Permit Fee 8 Z
Sewer Connection Fee �.
,Irt 3) Vater Connection Fee $
TOTAL $
Bu n In ctor
l
Div. Public Works
C
This fo ng permits
rm shall be signed by the agents of tilePlanning
o£ any buildiPlanning and llealtii Boards,
the Conservation Commission prior to the issuance
for the subject lot. Tliis form shall not
releorel3theylaapplicant from tie
compliance of any applicable Town requirement