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'MAR 3 1 II98
APPLICANT/CONTACT PERSON: LOC/C�2O ,..P/I.O ila 6'iY�9/
ADDRESS/PHONE: �G 9, Oy,� n¢
M PROPERTY LOCATION: PLO /71 -4-6 - A CC L ZONEr
THIS SECTION FOR-OFFICIAL USE ONLY: _
PERNM APPLICATION CHECICUST -
ENCLOSED REQUHIED DATE
7.0?UNC-FORM Pff.Y.F.D OUT
Frp Paid
D /O— ✓
a a
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ITOLLO WING ACTION HAS BEEN TAKEN ON THIS AP ICATION: :
Approved as presented based on information presented
Denied aspreseuted:
_Special Permit and/or Site Plan Required under:§
_PLANNING BOARD _ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
_Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
_Curb Cut from DPW _Water Availability Sewer Availability
_Septic Approval-Bd of Health Well Water Potability-Rd Health
Signature of Building Inspector Date
NOTE:Iaauanoa of a Bening permit does not relieve'an applioant. burden to oomply wfth all
zoning regWrementa and obtain all required permits from the Board of Hoalth, Conearvation
Commlaslen, Dapartmant of publto Works and other applloable permit granting authorftles.
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