HomeMy WebLinkAboutMiscellaneous - Exception (775)Owned And Operated
By NRT Incorporated.
C. MAREN
President
1475-2201 BUS., (978) 502-6979 CELL
475-4575 FAjmaren@realtor.com
482-4161 DIRECT
RESIDENM BROKERAGE
305 North Main Street
Andover, MA 01810
Jonathan.Maren@NEMoves.com
wwwNewEnglandMoves.com
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-LOT RELEASE FORM
sed to verify that all necessary approvals/permits from
jurisdiction have been obtained. This does not relieve
om compliance with any applicable or requirements.
'ANT FILLS OUT THIS SECTION***********************
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APPLICANT 4
LOCATION: Assessor's Map Number.
SUBDIVISION Q
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PARCEL
LOT (S)
ST. NUMBER—&(___(J
**** ***************************OFFICIAL USE ONLY**********************************Ar
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED '.
COMMENTS
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INS CTOR-HEALTH DATE APPROVED
DATE REJECTED
S 1i 9 CT0R-HTH DATE APPROVED
DATE REJECTED
COMMENTS ��� . Id--�;. – L. t �� `i
V
PUBLIC WORKS - SEWERMATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT_
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm