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295 Meridian Street Groton CT 06340
Telephone 860.446.4104
zb@cityofgroton-ct.gov
CERTIFICATE OF OCCUPANCY
DATE: ___________________________
LOCATION OF PROPERTY __________________________________________________________________
PROPERTY ID# __________________________________________________________________
PROJECT NAME __________________________________________________________________
PROPERTY OWNER __________________________________PHONE #_______________________
APPLICANT __________________________________PHONE #_______________________
ALL OF THE BELOW SIGNATURES MUST BE OBTAINED BY THE APPLICANT AND
RETURNED TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF A CERTIFICATE
OF OCCUPANCY.
NOTE: Please attach any comments below as necessary.
DEPARTMENT/
AGENCY
PERMIT
NOTIFICATION
DATE
SIGNED
SIGNATURE
Utilities Sewer
Utilities Water
Utilities Electric
Highway
Department
Roads, drainage, driveway-
curb cuts
Planning/Zoning Zoning Compliance
DOT State Highway Work
Conservation
Commission
Fill/Erosion Sedimentation
Control
Fire Marshal
Planner
Site Plan/Special Permit
Approval
Planner Soil Erosion/Fill
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