17 Septic Permit 2012 OF HEALTH
BALLOOM,CHAIR
IE SMITH,M.D.
E LEVIN,M.O.
food,MPH,Director
IPH,Health Inspector
RN,Public Health Nurse
r McBride,Clerk
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD OF HEALTH
(413)587-1214
FAX(413)587-1221
212 MAIN STREET
NORTHAMPTON,MA 01060
Se tic S stem Construction Permit: Conservation Commission Review
a of 1/1/11, Septic System Permits will not be issued by the Northampton Board of Health
sceive this form signed by the Northampton Conservation Commission Staff Member.
>ervation Commission can be reached by contacting:
O Sarah LaValley,Conservation,Preservation and Land Use Planner
SLaValle y n°rthamptonma. ov_
Office of Planning&Development
210 Main Street, Rm. 11,City Hall
Northampton, MA 01060
ty Owner:
:er: StCRuTFF .
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II
:rvatio-Co M-sion Conservation, Preservation and Land Use Planner
Address:/ 7 0 if yew
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