HomeMy WebLinkAboutPermit - Above Ground LP Storage 2017 - Flammable Storage Permit - 1160 GREAT POND ROAD 12/6/2017 ';
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(Rev. 1.1.2015) Return completed apoli oo to:
Permit Number
city or Towne: �� � 6 E ;FE iz wqr—1
Date: )
— � Bate: `®
In accordance the — �-_
Pnwisions of M.G.L. Chapter 148,as prodded it Sr:Ction
by Townsend 17ne - __.... _appfrcatiorn is hereby made
(Fuii Manse of Person,Firm ar CorporaFion) �se 97 - 77- 7 1
of 7 Che street P0 D 90 Da veI 0192 (Ptacrne i�aaaybe6,
(e4ddress:Sir-'t or P.o,8oz C6ty or Toga,Zip)Cndc)
for perrrsission to(state clearly purpose for wrhich permit is requested)
T 1—
Marne of competent Operator(if applicable) dose h Gy 41r2eri A -
Date Issued-rejected A
BY �
Date of expiration _"--
Pee,d'
Amourft Paid c
City or Town:
Bate: US SAl'�a„�MBE
Permit'lumber(if applicable-). start Date:
i
In acCoidance With
the Provisions of M.G.L.chapter 148,as prodded in to
C /!�I _ __ this permit is granted
for / _ _ UV a of Person,Finn or Corporagion)
,-a �fin. .���✓�
Restrictions: te
at /Goy
® (Suet and or Desra9be L on for rAdeq
ee paidu e-!dcnirral5rn)
' � -
This permit will expire°
;ignatore of
Official Granting Perrnotr
Title
P"Mit muse be conspicuouafy pa--* W , ..
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