TOWN OF BRIDGTON

Three Chase Street, Suite 1, Bridgton, Maine 04009

207-647-8786

BUSINESS INFORMATION

DATE: _______________________________________________

BUSINESS NAME: ____________________________________________________________________

ADDRESS: ___________________________________________________________________________

TELEPHONE # ________________________________________

OWNER’S NAME: ____________________________________________________________________

OWNER’S ADDRESS: _________________________________________________________________

TELEPHONE # ________________________________________

PERSON TO CONTACT IN CASE OF EMERGENCY: _______________________________________

TELEPHONE NUMBER: ________________________________

TAX MAP: ____________________   LOT: _________________

IS LOCATION IN SHORELAND ZONING?  YES __________ NO __________

PAST USE OF PROPERTY: _____________________________________________________________

PROPOSED USE OF PROPERTY: _______________________________________________________

_____________________________________________________________________________________

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It has been determined the above business does not constitute a change of use as per the Bridgton Site Plan Review Ordinance.  Applicant should also check with the Town Clerk for any other permits which may be applicable.