HomeMy WebLinkAboutMiscellaneous - 99 RUSSETT LANE 4/30/2018 (2)N
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BOARD OF HEALTH f
TOWN OF NORTHOVrE�R, MASS.
34, r F,A S -T'0 �? cJfAfQA, �N
1.
NAME
Old North nAar er Realty Tri a, DATE
2.
ADDRESS g„ca, i, Tann LOT NO. 17 TEL.
3.
NO. OF BEDROOMS DEN YES NO
4.
GARBAGE GRINDER YES NO
5.
SHOW
DIMENSIONS OF HOUSE
6.
SHOW
DISTANCES OF HOUSE TO ALL PROPERTY LINES
7.
SHOW
DIMENSIONS OF LOT
8.
SHOW
LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9.
NOTE
LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM
10.
SHOW
LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC.
11.
SHOW
DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.