HomeMy WebLinkAboutDrain Layers Permit 68 Mountain Drive a.
WINDSOR
WA1�T�,N'�;0� POLLUTION CONTROL "
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South, Yinds}or, Connect;aµt '�_
List o. f ,
,,. DRA1'N LAYER',S PE.R IT
�57
1.19
' Pursuant-to written application, petmissi n is hereby granted to the License rain La er
' ed herein to-perform
dhelwork,indicated. below,at ;A 000,10414t,
J • -
mesaside, be tween on the
at ptemises owned by
whose,addre§s xs
y ;. --�
nd a Lay House'Drain. Repair House Drain, I. y Main, Other
ncp or use,
wirll'. ^Family Units„wltlr: acres'.
t y Sewage to be connected under.this p Emit
SANL` RY SHWA GE ( j, INDUSTRIAL WASTES`.( bR
Y ' oriile be;made with
{ •V t i.•,+.a1w r:. � a iMM }? ��e,. .,►.. :�c :_ Y r (�` }-_Jw + /! � ' �'..t y
Permit to �ie �suesi to
} w t the ha7 "M
der of DrainLayer's Lsrteiise Na..i Permit Will e$prre on J ` � 19
'r 'I{henceEsigned;Drain Layer liere(iy, agrees Co a 1 the terms and conditions set foath on the perlt and the eisg sd
,,. th�ereol Applicant:has received Town Permit No and/or C H D Permit No:'
;,.fir street e$cavation . r +
AA
,' ,• .SICiAL"CONDI= IO1�T i
+ " !Signed z 4 { '
Eonnection Charge Pa Id
Licnsed Drain a er
oil
'Tax, Collector 'e y
;:Isugdby
3 p: Permit Fee: paid $ f
a :t: i INSPECTIObT. Cb�ck::Nber J'
b+` INITUL , _4 .� (Sig)
FII`1AL �'r x ,+ (Sig)
4 ? a.
�} APPROVED _. #' (Date)
vr a.. (Sig)
f 1 4