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TOWN OF SOUTH WINDSOR 2 " ' -
INLAND W �r
ETLANDS AND WATER COURSES
APPLICATION
INLAND WETLANDS AGENCY ACTION THIS APPLICATION SHALL BE RECEIVED BY THE
INLAND WETLANDS AGENCY AT THE REGULAR-
r LY SCHEDULED MEETING ON THE SECOND MON-
APPLICATION NO. d DAY OF THE MONTH AT THE TOWN HALL.
RECEIVED DATE 7 THIS APPLICATION MUST BE FILED IN TRIPLICATE
PUBLIC HEARING DATE AT THE OFFICE OF THE TOWN CLERK TOWN OF
(if necessary) SOUTH WINDSOR, AT LEAST TEN DAYS PRIOR TO
COMPLETED APPLICATION THE REGULAR MEETING DATE.
PERMIT GRANTED DATE /J��� A SET OF PLANS MUST BE SUBMITTED TO THE
TOWN ENGINEER AT LEAST TEN DAYS PRIOR TO
PERMIT DENIED DATE THE REGULAR MEETING DATE.
PLEASE PRINT.
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1. APPLICANT TEL. NO._ 19y x"" 7 J 1
ADDRESS �PM U �4 CITY & STATE
2. OWNER 13 'K ,'t�1-ke4 .4;T TEL. NO.
ADDRESS CITY & STATE
3. LOCATION OF PROPERTY EIS' e rLic 9'r- `1
NAMES OF ADJACENT PROPERTY OWNERS_ �IAt sE �V00D
f I
•
STATE CLEARLY AND BRIEFLY
�y 5. PURPOSES AND DESCRIPTION OF THE PROPOSED ACTIVITY,AND THE TIME ELEMENT INVOLVED:
CA
-ATTENTION:'-THE APPLICANT UNDERSTANDS THAT THIS APPLICATION IS TO BE CONSIDERED
COMPLETE ONLY WHEN ALL INFORMATION & DOCUMENTS REQUIRED BY THE
AGENCY HAVE BEEN SUBMITTED.
�O APPROVAL MAY ALSO BE NECESSARY FROM THE PLANNING AND ZONING COM-
MISSION.
'4��`,D�,D .0•• &4G61LAT_�T-6-R1frUCOA
AN APPLICATION FEE IS REQUIRED, CONSULT THE REGULATIONS.
A SIGN ISREQUIRED. CONS Tx RI
SIGNED:
(Applicant)
(Owne
Revised 9/20/82
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6 e 1540 SULLIVAN AVENUE - SOUTH WINDSOR, CONN. 06074
SOR-CON�w AREA CODE 203/644-2511
July 11 , 1984
Robert S. and Shirley W. Smith
13 Walker Street
Manchester, Connecticut 06040 CERTIFIED MAIL
Dear Mr. and Mrs. Smith:
At the July 9, 1984 meeting, the South Windsor Inland-
Wetlands Agency approved with conditions Application NO. 288
for a single family dwelling on the east side of Clark Street,
South Windsor, Connecticut.
The permit is based on the plan entitled "Property of
Robert S. & Shirley W. Smith , Clark Street, South Windsor, Ct. ,11
drawn by Lucek Engineering Associates, Inc. , dated 6/27/84.
The following conditions must be adhered to for this
permit to be valid:
1 `
1. The proposal is subject to the approval of the
Town Engineer.
2. The applicant shall indemnify and hold harmless
the Town of South Windsor against any liability
which might result from the proposed operation or
use.
3. The permit is valid for one year and shall expire
if not initiated and completed within one year
from the date of approval.
Ver truly yours,
Carr-tance Erikb�on, Chairman
INLAND WETLANDS AGENCY
TOWN OF SOUTH WINDSOR
CE: chm
cc: Continued on Page 2.