HomeMy WebLinkAboutMiscellaneous - 1299 Osgood Street 1299 OSGOOD STREET ��
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BOARD OF HEALTH0.
^;*,o w:'��y 120 MAIN STREET . TEL: 682-6483
�SSACNUSe NORTH ANDOVER, MASS. 01845 Ext. 32 or 33
APPLICATION FOR DUMPSTER PERMIT
PURSUANT TO SECTION 31A AND 31B OF CHAPTER 111
OF THE GENERAL LAWS, AND RULES AND
REGULATIONS OF THE
I NORTH ANDOVER BOARD OF HEALTH
DATE
TO THE BOARD OF HEALTH: f
Application is hereby made for a permit to maintain a dumpster on �
property located at
in accordance with the Rules and Regulations of the Board of
Health
Check use:
( ) Residential use ( //) Commercial use
( ) 30 day temporary ( t1 ) Annual
Name of applicant: Zia LA61- �-
Owner of property:
Telephone number: / r��✓�
On the bottom half of this form, please sketch an outline of
property, showing the proposed location of the dumpster. Give
distance from dumpster to other buildings and lot lines or
boundaries. Use back side if additional space is needed.
J BUJ J
L
Please eturn this applicatibn with a fee of $10. 00 ($5. 00 for
temporar permit) to: Board of Health, 120 Main St. , N ). Andover,
MA 01845 .
NUMBER FEE
-CO
HE COMMONWEALTH OF MASSACHUSETTS
L� $1-0 - 00-
TOWN of NORTH ANDOVER
This is to Certify that .---•--Bar ex ...FaL=...S.tond.........................................................
NAME
1299 Osgood Street, North Andover, MA
. . . . . . ----•...•-•---------•-•---------------------------•---.---..
ADDRESS
IS HEREBY GRANTED A PERMIT
For ............................Maintain One (1) Dumpster
- - - ----------------------------- ...............................
............................................................................................................................................................................
--------•-----•--------•------••-•---•--•-------•------•-----------•--•--------------------------------••--------•--------•-•---------------------••-----•-•-----••-------
------------•----•••----------------•--------------•-----••-------••-------------•-----------••---•-----•---------•••--•---------•-------....------•-------------•--......
This permit is granted in conformity with the Statutes.and ordinances relating thereto, and
expires......Der_ember---3a.-,---_19-9.2.............unless sooner suyep.ded or revoked.
14 A
Februarys...5.,---------------------19---92
O
---- . -- •-----•--- ---------------
FORM 451 HOBBS & WARREN. INC.
I
LAURIE LUNDQUIST
DOROTHEA BARKER 131
r 1267 OSGOOD STREET
NORTH ANDOVER, MA
01845 53-7118/2113
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