Laserfiche WebLink
Certification <br /> As owner/applicant of the above described property, I/we certify that that the information provided herewith is true to <br /> the best of my/our knowledge,and I/we agree to abide by the provisions of the Town of Vermont Land Use Plan and <br /> ordinances. <br /> I hereby give permission to the Town Board and/or their representative to enter the property in order to evaluate the <br /> site and to verify compliance with and/or to enforce the Land Use Plan and ordinances. <br /> Owner Name(print): Owner signature: Date: <br /> Applicant Name(print): Applicant Signature: Date: <br /> Received on thisac)l day of 2015: (by (�,� c(iC_ (town officer) <br /> Actions—For Town Use Only <br /> Plan Commission Action: Approved_Not Approved Date: INacdiS <br /> Fees Paid:$ Date: <br /> *For driveway application:An engineering plan_is is not required. <br /> Comments: <br /> Board of Supervisors Action: X Approved_Not Approved Date: II I 'i I S <br /> Driveway permit expires: Mel I I I <br /> Comments: <br /> County Board Action:_Approved Not Approved Date: <br /> Comments: <br /> Inspection of Driveway&Permit Reinstatement <br /> Driveway was constructed in accordance with the plan approved the Town Board <br /> Driveway is not acceptable <br /> _Applicant will make required improvements by(date) <br /> Comments: <br /> The Vermont Town Board_approved_disapproved reinstatement of this driveway permit. <br /> Signatures of Town Board Driveway Committee: <br /> Signature: Date: <br /> Signature: Date: <br />