tax formoulx y.
1.!'TOWN OF DARTMOUTH
Office of the Zoning Board of Appeals
400 Slocum Road,Town Office Building,Dartmouth, MA 02747
Telephone:508-910-1868
Board Members
Michael Medeiros Esq., Chairman
Halim Choubah P.E., Clerk
Robert Gardner,Jr., Member
Town Collector
Town of Dartmouth
Dartmouth, MA 02747
Name/Property Owner: Geoffrey DiSIauro
Subject Project Address: 12 Bayview Avenue
Map: 105 Lot: 52
The above referenced individual(s) is applying for a Special Permit and or Variance with the
Zoning Board of Appeals.
Pleasse certify that the above referenced individuals(s):
is not ondelinquenttax, levy or fee owed to the Town of Dartmouth.q any
is delinquent on tax, levy or fee owed to the Town of Dartmouth and has made
arrangement fo ayment.
Siuned Cida Date q\la\'21
own Collector