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BOARD OF HEALTH
120 MAIN STREET . TEL: 682-6483
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
NORTH ANDOVER BOARD OF HEALTH
DATE 13)
TO THE BOARD OF HEALTH:
Application is hereby made for a permit to maintain a dumpster on
property located at 5 b� a-fw,
in accordance with the Rules and Regulations of the Board of
Health
Check use:
( ) Residential use ( L, -f Commercial use
( ) 30 day temporary ( ) Annual
Name of applicant: 6-C p2 �'d'ov"'N Nnt-��'
Owner of property: Ghxc,Y-ta,"r Rc,a'-�, G�aNnc,�n;►tiiLrn")
&<5S -L4 %-70
Telephone number:
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.
0 u S' 9.
Please return this application with a fee of $10.00 ($5.00 for
temporary permit) to: Board of Health, 120 Main St., No. Andover,
MA 01845.
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BOARD OF HEALTH
120 MAIN STREET TEL. 682-6483
NORTH ANDOVER, MASS. 01845 Ext. 32 or 52
MEMORANDUM
TO: ALL NORTH ANDOVER NON-RESIDENTIAL PROPERTY
OWNERS/LEASEES
ALL NORTH ANDOVER LICENSED OFFAL HAULERS/DISPOSAL WORKS
INSTALLERS
FROM: ALLISON C. CONBOY APt
RE: 1992 PERMITS/LICENSES
DATE: JANUARY 14, 1992
This office has not yet received your application for a 1992
permit/license. Information and applications for re -licensing
and obtaining permits was sent to you in mid-November. If you
are a Food Service Establishment and have applied for your 1992
Food Service Permit but, have not yet received it, your permit is
being held at the Health office until such time as all applicable
permit applications for your establishment have been submitted
(i.e. dumpster permit).
The necessary applications are enclosed, please complete and
return to this office promptly. Failure to obtain a dumpster
permit may result in a fifty ($50.00) dollar fine as allowed by
the Town of North Andover Dumpster Regulations.
Please contact this office with any questions you may have
regarding this matter. Your anticipated cooperation is
appreciated.
ACC/cjp
y 1
NUMBER FEE
THE COMMONWEALTH OF MASSACHUSETTS
TOWN.. of NORTH ... ANDOVER
This is to Certify that ---------- Gorham..-Hardw-ame.,....Inc_..................................................
NAME
5.81 Chickering Road, North Andover, MA
ADDRESS
IS HEREBY GRANTED A PERMIT
For ------------------------- Maintain Qn...? s t e r
....................................................... -------•----------------------------•-•--------------------•-------------•-----•---- ...............................
This permit is granted in conformity with the Statutes and ordinances relating thereto, and
expires --.---DeGemj e-r-----31-,.._.19-g_a-------------- unless sooner suspended or revoked.
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Cly."-----------------
---...------
-•--Fe-bruar--- 1.8-T ------------------ 19--92 -- • = -- ��-
C.. - --
FORM 451 HOBBS @ WARREN. INC.