HomeMy WebLinkAboutMiscellaneous - 189 So Bradford BOARD OF HEALTH
I'0WN OF NORTH ANDOVER, MASS.
NY Loa 4"
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1. NAME l)o ° 7h - /�7Y /= .....�,.......�._.. DATE
2. ADDRESS „S'p ,'1Cf4V %oc' 5'r- LOT N0. TEL._
3. NO. OF BEDROOMS _ DEN YES N0�____
''. . CAISAGE GRT-NDE-7? 140
5. SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANC ' HOUSE TO ALL PROPERTY LINES
7. SHOW DIMENSION, OF IAT
8. SHOW LOCATION AND , "E OF SEPTIC TANK OR CESSPOOL
9. NOTE LOCATION AND DISTANCE OF WELL FROM SVERAGE SYSTEM
10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SE ":.NK OR Cl:`-"BOOL FROM HOUSE
NOTE: I"AL RUGULAT` i SHOUILD BE READ CAREFULLY.