HomeMy WebLinkAboutFP-006 Propane Tank Building #2 - Permits - 12/5/2019 tl
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Application for Standard
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Return feted application t :
PermitNumber: NUMBERDIG SAFE
City,or Town,-
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... Start Date:
Date:-
In accordance with the provisions f M.G.L.Chapter 148,as provided ire Section a ii ti ro is hereby made
Uffull Name of Per ,F r' + rl ration) hone Number),
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(Address.Street or P.O.Box,City,or I ode
for permissi on t state clearly purposefor which permit i's requested)
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Name f Corrip t nt.Operator if a p Ificabl Cert, No..
Date Issued-rejected 1 9N. By
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-(Signaturb of ppli rat)
Date of expiration Fey Amount',Paid'
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VIVO
FP-006
(Rev. 11. 1
PERMIT
r City r n: DIG,SAFE NUMBER.
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Date.
Start Date:
Permit I brnh r(if applicable)-
Inaccordan:cewit tl rovi ions ,I ®L.Chi pit r s provide t this 1perm Jq g r t
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FII ' ru f Prom,Firm pr rrti
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Restrictions:
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('Street and#or Describe Location for Adequite Identification)
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Fee ,i his it will expire on
Signature of Official Granting rmit. T Title
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