Temporary Event Sign-Off Sheet Template

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TEMPORARY EVENT SIGN-OFF SHEET
EVENT:
DATE(S):
PLANNING & ZONING COMMISSION
SANITARIAN
Action taken on:
Action taken on:
Action taken
Action taken
Signature
Signature
BUILDING DEPARTMENT
FIRE MARSHAL
Action taken on:
Action taken on:
Action taken
Action taken
Signature
Signature
RESIDENT TROOPER
DEPT. OF PUBLIC WORKS
Action taken on:
Action taken on:
Action taken
Action taken
Signature
Signature
PARKS & RECREATION DIRECTOR
SELECTMAN’S OFFICE
Action taken on:
Action taken on:
Action taken
Action taken
Signature
Signature
Q.V.H.D.
Action taken on:
Action taken
Approved by
Rev 1-07

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