HomeMy WebLinkAboutMiscellaneous - 60 WINDSOR LANE 1/22/2016 FORM - U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
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APPLICANT 5%'� PHONE 3—�?Sz
ASSESSORS NIAP NUNIBER ��G LOT NUMBER 7 /
SUBDIVISION LOT NUMBER
STREET fn�(ASp!� �t STREET NUMBER y
.............................................................
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I.......................... OFFICIAL USE.ONLY..�5�.` .�?o.�V�hac-L e
RECONIlVIENDATIONS OF TOWN AGENTS
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c l"�'` �' ` DATE APPROVED L
CONSERVATION ADMINISTRATOR
1 J DATE REJECTED
COMMENTS c��� s wl 0 L/
DATE APPROVED
TOWN PLANNER
DATE REJECTED
COMMENTS
DATE APPROVED
FOOD INSPECTOR-HEALTH DATE REJECTED
/ DATE APPROVED/P/4� 0
v SErTIC INSr CTOR-HEALTH '
DATE REJECTED
COMMENTS —AL /
PUBLIC WORKS—SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTNMTVT
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR DATE
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Job No.
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PAUL y
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This plan was not prepare c+ from an instrumenl. MORTGAGE LOAN INSPECTION
survey. Offsets and distar.t,kls shown should not LOCATION: (zo 4✓,.v4�>-e-C,
be used to establish properi; lines.
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This plan is intended for rnort.;;;;9c.purposcs
only, SALE: DATE.
certify that the structure _.._..,_sn,�.vn cii thin EClSTRY:
Plan in confcrmanc;; ,vith ',-�e zo;iin
9
setbacks in effect at the ti T11 E REFERENCE: �5 ; 22G7
me f c�r .3'fl.:!� lic);j.
PLk! REI;ERENCE:- ,,7,..
certify that the parcel shown is
located within a flood hazard arc; ' as 'cpictcd
on FEMA Flood Insurance Rate Nla.ps `or COREY �= DONAHU>-. •1N:C.
ngir rcrs S surveyors
Community No: _ �gg:)�p ;98 CAMbridxc ROMI,Wobarn, MA 0180I