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29-326 10. Do any signs exist on the property? YES NO v IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO 4,- IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Building Department Required Existing Proposed By Zoning I Lot size Frontage Setbacks - side L: R: L: R: ` - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parksngi # pf Parking spaces #- of Loading Docks Fill: -(vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANT'S SIGNATURE NOTE: leauan e 46f a zoning permit does not relieve a ppiloanta bur en to oomply wit4 on o zoning requirements and obtain all required permits m the Board f Health, Conservt+tior Commission. Department of Publio Works and other a plioable permit granting authorities. FILE # DEC File No. ii ZONING PERMIT APPLICATION (§10 . 2) `- PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �f�i�1 ES �� �q�Lq/jj�►r!G Address: 3/�f A--R4��aP.021e- '06ZjVE Lo/KC4)cr;Telephone: 606-22F2-- 2. Owner of Property: Address: Telephone: 3. Status of Applicant: Owner _Contract Purchaser Lessee Other(explain): 4. Job Location: -5NAE- lqS Parcel Id: Zoning Map# -�2 q Parcel# 3--26 District(s): UR/9 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5, Existing Use of Structure/Property _'5/NGLF— L Y 6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary): OFD/c/ C L.Ef9AJI/ilC, 5�52vlcE- FIZIOgE cry«s O/jzy 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. S. Has a Special P/ermit/Vadance/Finding ever been issued for/on the site? NO !/ DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO kl DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) 3 F DEC �t Date Filed 2 3 File No � 71 ZISTRATION OF HOME OFFICE/OCCUPATION (§10.2 & 11.11) With the Building Inspector 1. Name of Applicant: ES 9. G,�4rL/3Mn9� Address: 31 t f- 4cieat3A6 l-' 12 Telephone: 2. Owner of Property: S"A/rI E RS /43oyE Address: Telephone: 3. Status of Applicant: (/Owner Contract Purchaser Lessee Other (explain: ) 4. Parcel Identification: Map Parcel # 3.24 , Zoning District(s) (include overlays) UR11 Street Address S ymms A&V r 5. Narrative,Description of Proposed Home Office: (Use additional sheets if necessary) pfF/cG CL-6-,9,(j1136- 5F-A-Vk:C - rPAW)a- C441­5 o.0(y 6. Is this a legal residential building? YES N . 7. Will there be an employee/owner who doesn't live in the home YES N 8. Will you ever see clients or customers at your site? YES NO How often For what purposes 9. Will there be any signs for the Home Office? YES N 10. Will there be any goods sold from the premises or any sale of goods stored on premises, either retail or wholesale, or any display of goods on premises? YES NO 11. Will there be any outdoor storage of materials? YES NO 12. Will your use be totally within a building and not cause any outward manifestation (including traffic generation, parking congestion, noise, air pollution, and materials storage) ? YES NO If NO explain: 13. Attach Plans (if applicable) 14. Certification: I hereby certify that the information contained herein is true and accurate. I understand that if any information is incorrect, my permit is null and void and I may be liable for non-criminal f ines and criminal and civil actions. Date: /a/3�Q� Applicant's Signature: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL US ONLY: Approved as presented/based on information presented APPROVAL EXPIRES ON ECEMBER 31 OF THIS YEAR AND MUST THEN BE RENEWED Denied as presente -P eK - Signature of ^ilding Inspector Date NOTE.Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Coemmation Commission,Department of Public Works and other applicable permit granting authorities. File#MP-1999-0057 APPLICANT/CONTACT PERSON James H.Laflamme ADDRESS/PHONE 586-2382 PROPERT d, 314 ACREBROOK DR M •ZONE URA _0 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOS REQUIRED DATE ZONING FORM FILLED OUT E>� Fee Paid o� _ Building Permit Filled out - Fee Paid Type of Construction: New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Occupant Statement or License# 3 sets of Plans/Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved as presentedibased on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability 08 of Health _Well Water Potability Board of Health Permit from Conservation ission Signature of Building icial Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities.