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Application for Site Plan Special Permit

2. Application for Site Plan Special Permit

4. To the Planning Board:

   The undersigned herewith submits the accompanying Site Plan of the property located in the Town of Billerica for a Site Plan Special Permit pursuant to the requirements of Section 6 of the Billerica Zoning By-Laws to construct an addition or structure containing

5. Location:

   Please Describe

7. Applicant

8. Address

9. Telephone

10. Email

12. Engineer / Surveyor

13. Address

14. Telephone

15. Email

17. Deeds of Property recorded in the (Insert County) Registry

18. Book

19. Page

21. Location, metes and bounds description of property.

23. Electronic Signature of Owner

24. Address of Owner

26. Assessor's Plate

27. Parcel

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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