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2. LOCATION OF PROPERTY:
4. MAP/LOT (IF KNOWN)
6. REQUESTER:
8. PHONE NUMBER:
10. EMAIL:
12. REQUEST IS MADE FOR APPLICATION TO THE FOLLOWING BOARD*
    -- Select One --CONSERVATION COMMISSION (300')PLANNING BOARD (300')ZONING (300')LIQUOR COMMISSION (IMMEDIATE ABUTTERS, 500' CHURCHES & SCHOOLS)FENCE (IMMEDIATE ABUTTERS ONLY)
14. When Abutters List is Ready*

    1. I want to pick up the list (Assessor's Department will call you).
    2. I would like the abutters list emailed to me & cc' the appropriate City department.
16. CUSTOM LIST - EXPLAIN (FEE MAY BE REQUIRED)
18. NOTE: The Assessor Office will typically complete your request within 10 days from the date of receipt. We will call the requestor when the abutters list is complete. The ORIGINAL COMPLETE ABUTTERS list must be submitted with your application for the appropriate board. LISTS CANNOT BE MAILED UNLESS A PREPAID, SELF ADDRESSED ENVELOPE IS SENT TO OUR OFFICE. We will not be responsible for lists sent through the mail. Completed lists can be picked up at the Assessors Office during normal office hours.
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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