2. Town of Sandwich

   Certified Abutters Request Form

   PLEASE ALLOW TEN BUSINESS DAYS FOR A LIST TO BE CERTIFIED BY ASSESSORS.

   PER M.G.L. CH. 66, S.10 LISTS ARE CERTIFIED ON A "FIRST COME, FIRST SERVE" BASIS.

   PLEASE PLAN YOUR TIME FRAME ACCORDINGLY.

   ALL HIGHLIGHTED FIELDS ARE REQUIRED.

4. Person Requesting Certification*
5. Name of Applicant*
7. Property Address*
8. Property City*
9. Applicant Address
10. Applicant City
12. Property State*
13. Property Zip Code*
14. Applicant State
15. Applicant Zip Code
17. Email Address*
18. Phone Number*
20. Parcel ID*

    Parcel/Property ID from Map Geo

21. Link to Map Geo
    Sandwich MA, Map Geo
23. This Application is for:*

    1. Board of Appeals (Variance, Special Permit, Comprehensive Permit)
    2. Planning Board (Special Permit)
    3. Selectmen (Road Taking)
    4. Selectmen (Utility/Pole Location)
    5. Selectmen (Gasoline/Oil Storage Tank)

    1. Selectmen (Liquor License)
    2. Conservation Commission (Notice of Intent)
    3. Historic District (Certificate of Appropriateness)
    4. Board of Health (Site Assignment)
    5. Other (Specify)
25. Other (Specify)*

29. For use by Assessors

    
    

    Certified by _______________________________________

    Title _____________________________________________

    Fee ______________________________________________    

    Date Paid _________________________________________

    
    

    Signature _____________________________________________________________________________________________

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field