To:

Attn:

Date:

Project:

Project No.

Subject:

TRANSMITTED: __ Attached __ Under separate cover Via: __ Mail __ Express mail __ fax # _____________

__ Plans

__ Request for Determination of Applicability

__ Determination of Applicability

__ Notice of Intent

__ Order of Conditions

__ Notice of fee due

__ Letter

__ Message (see remarks)

__ Specifications

__ Reference documents

__ Blank forms

__ ____________________

__ ____________________

__ ____________________

If items are not received as listed, please notify us immediately.

__ For your use

__ Revise & resubmit

__ Approved

__ Approved as noted

__ Rejected

__ As Requested

__ _________________

__ _________________

__ _________________

Remarks:

___ Failure to respond by ________________ will delay the progess of this project.

cc:

File:

Hamilton Conservation Commission

_____________________________________________

_____________________________________________

Phone (508) 468-5583 Fax (508) 468-2682

POB 429, Hamilton, MA 01936