LUNENBURG PLANNING BOARD
TOWN OF LUNENBURG
Emerick R. Bakaysa, Chair Tel: (978) 582-4147
Joanna L. Bilotta, Vice-Chair Fax: (978) 582-4353
Thomas W. Bodkin, Jr., Clk. 960 Massachusetts Avenue
Robert J. Saiia, Mbr. Lunenburg, MA 01462
Nathan J. Lockwood, Mbr.
Marion M. Benson, Planning Director
APPLICATION FOR SPECIAL PERMIT
DATE
NAME OF APPLICANT
NAME OF OWNER
ADDRESS
TELEPHONE NUMBER
LOCATION
MAP PARCEL DEED RECORD
PROPOSED USE & DESCRIPTION
SPECIAL PERMIT UNDER LUNENBURG BYLAW SECTION
APPLICANT REQUIRING WAIVERS YES NO
NAME OF ENGINEER
ADDRESS OF ENGINEER
TELEPHONE NUMBER OF ENGINEER
Forms/SpecialPermit |