TOWN OF HUDSON
LAND USE DIVISION
12 School Street · Hudson, New Hampshire 03051 · Tel: 603-886-6008 · Fax: 603-594-1142
Code Enforcement/Investigation Form
Address in Question: _____________________________________________________________________________
Business Name (if applicable): _____________________________________________________________________
Type of Occupancy: Residential Commercial Industrial
Please write your question or concern below. Please be as specific as possible.
Your Name: ________________________________________ Daytime Phone #: ___________________________
Address:______________________________________________________________________________________
Signature: ________________________________________________ Date: ______________________________
For Office Use Only Date Filed: ___________________________ Map: _______________ Lot: _________________
Pending Enforcement Issues: Yes No
Environmental Issues: Yes No Date Forwarded to Engineering: ______________
Possible Site Plan Infractions: Yes No Date Forwarded to Planning: ______________
Other Department Notifications: Department: _________________ Date Forwarded: ______________
Additional Comments:
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