HomeMy WebLinkAboutFP-6 - Permits - 500 GREAT POND ROAD 3/10/2020 Yl �
6�4Y Noah Andover
-0 Application for Standard Permit
F 1. 4 Return completed application to:
Permit Number:
City or Town: North Andover FD61GWSAFE NUMBER
D ate..3/10120 Start Date:
In accordance with the provisions of M.G.L.Chapter 148,as provided in Section 10A application is hereby trade
by North Andover Country Club
2
(Full Name of Person,Firm or Corporation) w
(Phone Dumber)
of 500 Great Pond Fed.
(Address:Street or P.Q.Box,city or Town,Zip Cade)
for permission to(state clearly purpose for which permit is requested) Remove abandoned concrete DST
once fuel has been removed and cleaned by N - e aining concrete to be crushed by D M Civil and removed
to Enpro of Vermont In 7-pans'
Name of Competent Operator(if applicable) Cert.No.
Date Issued-rejected /10/ 0 -By �_ 00�
ekh6 Signature of Applicant)
Date of expiration 11 1 � Fee � .� Amount Paid 0
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North Andover
F P-006
(Rev.1-2018) PERMIT
City or Town: North Andover DE NUMBER
Date: 3/10/20
Start Date:
Permit Number{if applicable}:
In accordance with the provisions of M. -L.Chapter 148,as provided in 1 OA this permit is granted
to North Andover Country Club
(Full lame of Person,Firm or corporation)
for removal of abandoned concrete LIST
Restrictions: All work in accordance w1 527 CMRincluding Ch 66
at 500 Great Pond Rd.
(street and#or Describe Location for Adequate Identification)
Pee Paid 0 T is rrnit will expire on 3117120
I/
Signature of ffic�al Granting Permit: tt� Tltl FP
This permit Must be cony i cuouslyposted upon the premises ���