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Town of Montville
Building Department
848-3030, Ext 82
ONE&TWO FAMILY
CERTIFICATE OF OCCUPANCY
SIGN-OFF SHEET
/2 A
Property Ad•
Job Description:
The owner/agent shall be responsible for the completion of the form, no certificate of occupancy will be issued until all
signatures below have been obtained.
HEALTH DISTRICT
•
848-3030-882
Approved
❑ Permit#: Not Applicable
Septic System Date
Approved
Private Well ❑ Permit#: WiNot Applicable
Date
WPCA DEPARTMENT _
848-3030,Ext 881
Approved
[] Permit#: T27 Not Applicable
Municipal Sewer Date
Approved
❑ Permit# yr Not Applicable
Municipal Water Date
DEPARTMENT OF PUBLIC WORKS
848-7473
Approved
-❑ Permit#: Not Applicable
Director Date
PLANNING : ZONING pEPARTMENT
848-3030,Ext.81
U
' � � JL��-t� � In-Compliance
io/f. �3 Permit#: L�
� � �' � Z -2 3 7 ❑ Not Applicable
Zoning Date
In-Compliance
❑ Permit#: ❑ Not Applicable
Inland-Wetlands Date