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Date Filed — _- File No',
ZONING PERMIT APPLICATION
*' Zoning or dlirnttnce S0bt;i.on 10 , 2
1 , Name of JapLl.i.c�ntnt ; I Aj ( ,
Ac1dr. ess ' Te phone
2 . Owner. of Pr. oiDer. t:\/ '
Address ; 11,aIa hone ;
3 , St-•atus Oi'A)i—ol ) cant. ; _Owne). Contract Purchaser
-Lo ssce Other (explain : ) n
41 Parcel T.dent.i.f.icata.pn ; Zon.}9 l4ap Sheett� Parcel
zoning District (
Street Address j l
5 . Compliance- with zon.i.nu ; laxistiny Proposed
Use of Structure/Property -
Size of Structure (sq , ft , )
Building height
Building Coverage
Setbacks - front `'w
- .Side -r-
{i - rear ,
• Lot - Size •
Frontage --
Floor Area Ratio
Pis Open Space
Parking spaces
Loading Spaces
Signs
Fill (volume & 3.oeation)
?Yar.rati�ie Description of Prot o s a d Work Pro ect ; (Use
Z addita final. sheets if necessary) 4 • ,
7 , Attached Plans ; Sketch Plan Site Plan
8 , Certification ; .1 hereby certify that the 'Jh�oxmation, contained
herein is true and accurate to the best of my knowledge ,
Date ; t�"`l/ Applicant ' s Signature ;
THIS - SECTION^FOR�OFFICIAL USE ONLY :
/•Approved 'as presented
Denied as presented
Reason for Denial„
Signature of Building inspector,--
__. Datee
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c�t6 ' ��fC l Zoning
U�/i,t
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. P sG d Alterations
2o�s "TO, NORTHAMPTON, MASS.
19 UL Additions
- e Repair
APPLICATION FOR PERMIT TO ALTER
Garage
/��I�))
1. Location D ���t�' /-O� � It Lot No
2. Owners name )r 1, Address
t, n ri •. Y00 .0W )y
3. Builder's name Address � '`�° �" ? bbl ' 1 (t
Mass.Construction Sup rvisor's License No. 1� rl j� Expiration Date '
4. Addition
5. Alteration
6. New Porch , z,
7. Is existing building to be emolished?
8. Repair after the fire �l Cl
9. Garage t.,l o No.of cars Size
10. Method of heating
11. Distance to lot lines `
12. Type of roof
13. Siding house
t�
14. Estimated cost:-
The under i ned certifies at the above meets are true to the best of his, her
G1 knowledge d belief.
" Mature of responsible applicant
Remarks
PHINTaSNOP
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