HomeMy WebLinkAbout601 Sandstone Drive (4) t OWN SF,
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SOR-CO TELEPHONE (860) 644-2511
RIGIIT OF ENTRY FORM
To Whom It May Concern:
I hereby grant permission for a representative of the Town of South Windsor,Health
Department,to enter my property or place of residence located at:
(street address)
to conduct an inspection,make observations,and take photos if necessary.
I understand that the findings are public information.
Date:
Owner/Tenant's Signature:
Print Name: o
Inspector's Signature: //�� '
Print Name: y�l (_l�lTlj