HomeMy WebLinkAbout0082 CRYSTAL LAKE ROAD - Health (2) C r s Lalb. �
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KEEPING YOU-ORGANIZED
No. 12134
2-153LGN
SUSTAINABLEFORESTRY MIN.RECYCLED
INITIATIVE CONTENT10%
Certified %rsourcinp POST-CONSUMER®
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MADE IN USA
GET ORGANIZED AT SMEAD.COM
TOWN-OF BARNS,TABLE — UNDERGRjUND FUEL AND CHEMICAL STORAGE REGISTRATION
MAP NO. /� PARCEL NO. 0 Of rJ
ADDRESS OF TANK: 'Ff 5 {Z 4q�%%' �� V I L L A G E t " ?
NumIDWr atr^Gem t
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) .' � r G�'7'/✓�' /I v :, f'is;I>�ir✓�tf i'
OWNER NAME: c a !s PHONE:
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INSTALLATION DATE: BY: V
INSTALLER ADDRESS: 'CERT.NO.
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*TANK LOCATION: 1
• (DC�Qli Z aC TANIt LOQALZ ONW Z TH RQOPQCT TO 1iU Z LD Z NO
CAPAC I TY TYPE OF TANK AGE *' YRS. FUEL/CHEMICAL
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VTESTINGI•CERTIFICATION [ ] PASS [ ] FAIL DATE
' LEAK DETECTION [ ] CHECK IF N/A" TYPE/BRAND
ZONE OF CONTRIBUTION C ] YES CV] NO DATE TO BE REMOVED
YFIRE DEPT. PERMIT ISSUED [ ] YES C ] NO DATE
CONSERVATION [ ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. C b ] DATE
PLEASE PROVIDE A SKETCH .SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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FILE # D2448 CENSUS TRACT # •~
CLIENT : Attorne s Alger & SchillingDEED BOOK PAGE
OWNER : Robert M. shields Sr. PLAN BOOK PAGE LOT
APPLICANT: 'Charles Jackson ASSESSORS PLAN PLOT
M0RTGA, GE I NSPECTION PLAN of I A N D
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BARNSTABLE
SCALE : 1��� 40� SEPTEMBER 11, 1985
NSF LIPSON
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NSF EASTMAN SHED�. ,
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NSF WEBSTER
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113 . 66 '
CRYSTAL LAKE ROAD
I CERTIFY TO ATTORNEYS ALGER & SCHILLING, NEWORLD BANK FOR SAVINGS AND ITS
TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS
EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION,
THE LOCATION OF THE DWELLING AS SHOWN HEREON
IS IN COMPLIANCE WITH THE LOCAL APPLICABLE of
ZONING BY-LAWS WITH RESPECT TO HORIZONTAL moo`' KENNETH cy�
DIMENSIONAL REQUIREMENTS , FERR. _
-0 No. 28716
THE DWELLING SHOWN HERE DOES NOT FALL WITHIN
A SPECIAL FLOOD HAZARD ZONE AS . DEL INEATED /ST ER
ON A MAP OF COMMUNITY #250001C DATED 8/19/85
BY THE F . I . A ,
Land Surveyors Civil Engineers
Abe 00101t Ptnb�urtrg
17Z 1willi2tm '4t.
Ntfu PeNork. P 02740
GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the
result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land
surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this
date. (3) . This plan was not made for rL-ording purposes, for use in1p'repaoing deed descriptions or for con—
structions. (4) Verifications of property lin: dimensions, building offsets, fences, or lot configuration may
be accomplished only by an accurate instrument survey.