310 CMR 13.22
Appendix A
TOWN
LOT #
DATE INSPECTED
COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
WETLANDS RESTRICTION PROGRAM
1 WINTER STREET, BOSTON, MA 02108
REQUEST FOR ON-SITE INSPECTION
The Department will conduct on-site inspections in the town of
from
to
. Please fill out and send in the following information to the above address.
In addition, please telephone the Department, by a time and place for the inspection.
1.
Name of owners:
Name of person requesting on-site inspection (if different from owner)
2.
Address of person requesting on-site inspection
3.
Address of property
4.
Telephone # of person requesting on-site inspection home:
work:
5.
Reason for on-site inspection
12/27/96
310 CMR - 477
NON-TEXT PAGE
12/27/96
310 CMR - 478