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FORTS U
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
SUBDIVISION
ASSESSORS MAP IIAyjgl BOG &rCz. ,`5 --
SUBDIVISION LOT(S)
.PERMANENT ADDRESS (ASSIGNED BY D.P.W.
STREET E%
APPLICANT -gL PHONE
DATE OF APPLICATION
TOWN USE BELOW THIS LINE
PLANNING BOARD
TOWN PLANNER
CONSERVATION COMMISSION
CONSERVATION ADMIN.
BOARD OF HEALTH
HEALTH"SANI
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED fd <'
DA'Z'E REJECTED
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DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
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This form shall be signed by the agents of the"Planning and Health Boards,
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.