HomeMy WebLinkAbout601 Sandstone Drive (5) *SORCO"'
Town �soud. ?A
1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
TELEPHONE (860) 644-2511
RIGHT 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:
(oU \ S'r.t,j_S vc
(street address)
to conduct an inspection,make observations,and take photos if necessary.
I understand that the findings are public information.
Date: g --)
Owner/Tenant's Signature:
Print Name: �wAj
Inspector's Signature:
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Print Name: jt`�Xt�
SCANNED