HomeMy WebLinkAboutRecords Retention 2010. Page 3 RECORDS DISPOSITION AUTHORIZATION STATE OF CONNECTICUT
Connecticut Towns,Municipalities,and Boards of d a Connecticut State Library
Education Office of the Public Records Administrator
Form RC-075(Revised oinoio) h
231 Capitol Avenue,Hartford,CT 06106
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INSTRUCTIONS: www.eslib.org/publicrecords
I. Use this form to obtain approval for disposition(destruction or transfer)of public records pursuant to CGS§7-109.
2. If this form is used for educational records,please ensure that the Superintendent of Schools reviews and signs the form.
3. If necessary,use additional forms. Each form must be signed. Please fill-out the form completely and legibly and submit to the above-listed address at
least 20 days prior to the proposed date of disposition.
4. Volume of Records:Letter-size drawer=1.54 cubic ft./Legal-size drawer=2.0 cubic ft./Record carton(standard banker's box) =1.0 cubic ft
5. After receiving approval,the original signed form must be retained in the Office of the Town Clerk. The originator of this form(custodian of the record)
may keep a duplicate copy. Records that cannot be destroyed have been so noted.
LOCAL GOVERNMENT ENTITY: DATE:
Town of South Windsor 7/21/2010
CUSTODIAN OF RECORDS: PHONE:
Building Department 860-644-2511 ex.230
ADDRESS(form will be returned to this address):
1540 Sullivan Avenue South Windsor CT 06074
I Hereby certify that tiie records fisted belovy have met t ci retention requiretnents establislted by fhe Office of the Pu?zltc Yiecords A mistrator m the
forri;of approved renards refentton schedules. No 3records fisted,m our=opm� n pertain to any
pen'.ing°>ea e,ciatm,or action
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CUSTODIAN OF RECORD(time or rirint): S�TUodian of Record): DATE:
GOVERNMENT Building Department Zy
AUTHORIZATION HEAD OF MUNICIPALITY(type or print): SIG>WTUREIRead of M ipality): DATE:
Matthew Galligan 1,1J, ` - �,)
EDUCATION SUPERINTENDENT OF SCHOOLS(type or print): SIGNATURE(Superintendent of chools): D)(TE:
AUTHORIZATION
SCHEDULE& INCLUSIVE DATES VOLUME.OF PROPOSED
SERIES# RECORDS SERIES TITLE OF RECORDS RECORDS DATE OF
(eg.,M1-080) FROM THRU titidieatecubcftj '• DI4OSITI.OI!1
1.M10-0,3 0 26 Sally Drive Permit#30413 3/5/2004 11/12/2006 oe
2.M10-0 30 49 Stedman Circle Permit#30390 2/13/2004 9/26/2006
3.M10-0 30 147 Trumbull Lane Permit#30347 1/15/2003 3/05/2004
4.M10-0 3 0 268 Lawrence Road Permit#30270 12/2/2003 10/1/2004
5.M10-03 0 915 Strong Road Permit#30187 11/26/2006 4/2/2005
6.M10-03 0 17 Red Rock Lane Permit#30465 6/29/2004 11/8/2006
7.M10-03 0 12 Vintage Lane Permit#30581 5/7/2004 8/11/2004
8.M10-03 935 Main Street Permit#30314 12/29/2003 11/22/2005
9.M10-03,b 87 Long Hill Road Permit#30410 5/3/2004 8/18/2004
10.M10-63 0 202 Lisa Drive Permit#30439 3/25/2004 63/3/2004
11.M10- b 1804 Mill Pond Permit#30447 4/1/2004 3/14/2005
12.M10-0J0 151 Sand Hill Road #30457 4/l/2004 10/23/2006
13.M10-030 45 Red Rock Lane#30464 6/29/2004 6/3/2005
14.M10-03 b 471 Barber Hill Permit#31336 12/6/2004 7/21/2005
APPR V ( ublicRecogs, l rator): DAIgtp PUBLIC
n U 9 2010
RECORDS
AUTHORIZATION APP4 *1P(Soe.�xc(r vi ) DA
1:/� � SEP 0 9 2010
PUBLIC RECORDS NOTES: `"