HomeMy WebLinkAboutBLD-22-005302 3 Lo - -?07-69-c 3oa
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WATER DEPARTMENT
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BE 11.1/I N(.; PERMIT APPLICATION FOR
‘1 A I ER DE P ARTmENT SIGN OFF
FRANSNIETTAL FORNI
HUILDINCi SITE LOCATION: K27 .- $76111 . (.57/1„pie ../)/- ,-5: Aoti-e-A
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PROPOSED WORK Irirl-er eflee._ etk75 -f-e ex747 p....27_-".4,5742-frc4.-t.)- --
A 11 VLICA NI: 41-74.54-t-i41-t tee..,e...c; q re-1/*//r/R eez 4 i/e Sarr-Rs
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ADDRESS. 42i ,.. ./ ,--e"
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TELPHONE: 5PLD / c„./7 , P__5 3 g k 6 a mts mc.v/uot ie nevi
RESIDENTIAL AND:OR COMMERCIAL BUILDINC;
Water Department: Determines('ompliance of Water A%ailabilu) and or existing location
Ingineeritig Department, Determines Compkince!Or Parking and Drainage
("onsciAation(.'ommission: I)et ermines Compliance to Wetlands Act: i c Ilion:0 border an' type of
ueilands.sti cams,ponds.Filers.ocean.bogs.bo,s.marshland. ER'
!kali!' Department: Determine:Compliance to State and I own Regulations, ye
requirements lOr Septage Disposal and other Public Health Aeti‘nes
Fire Department: Determines Compliance to State and Town Requirements for Personal
Safety.Properly Protections, i.e.Smoke Detectors.Sprinkler S}stems.ete
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„111)1,1CAN'I SIGNATURE II A'IT
OFFICE USE: COWMEN-I S ON PERM!! ‘PPROV-11, OR DEN! ‘I
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RrviEvkFl) N'' 'ATER DIVISION(SIGNATURE)
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