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29-398 (2) o �• a a y 0 b O z d O o �o > C=i Zoning Lt- ' 105P Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations so NORTHAMPTON, MASS. �' 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Lot No. 2. Owners name Address Builder's nam L0 jl 'M/5- Address)W c o0:!4�fG V p/�i rn52 t ass.Construction Supervisor's License No. Expiration Date 4. Addition Alteration 6. Jew Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated coo"/'A-Z)�l V The undersigned certifies that the above statements are true to the best of his, her knowledge an,belief.Wt�, .i Signature of responsible applicant Remarks PRINTaSNOP 6Llf„ Data Piled— v File. No ,. ZoN7NG PERMIT APPLICATION (910 . 2 ) Name ;of Applicant ; Cf �C QVIf (M ci-e'I^�G r, sa,r Address; (.9 '1'el4phono t Sa - �k(____� 2 , • owner of Pro ert ' Address ,, Telephone: 3 Status 'of Applicant : owner Contract Purehasex Lessee other. (explaTnt Q , Parcel Identification : Zoning Map Sheet Zonincj Districts) (inblu overl ys) '8 1 05 Str eel: Address llLcYuirod 5 , Lx.iain� Proposed )oy_'?:oJ_ia 2 Use of. Structure/Property (if. project 'is only intoi skip to IM Building height • tPlclg , Coverage (Footpriht) S,etY.►acks - front - sidd . - rear Lot-'size Yr.ontage Floor, Area Ratio k0p�en Space (Lot Area 'minus �. 2:u1•.7.d1ng And parking) ^. _...:..� Par.}tincj -Spaces .•_�. Signs _._.... h`ilA (Vol wnle A J oca tl6n) , 6 , Narrative Desor tion• of Proposed Work/Proje tt ( additionnl .Fllteets .� rtFG s y) r -� _.; .7 , : ' Attached Plans : Sketch Plan Site P1'an 8 Certification ., ,I ' hereby certify .that the information contained he.l ein 1*6 true and acourate to the best of my knowledge , r Date t Applicant I•s Signatur .VHXs SECTION Pon OPPICIAL UBB oNl,yi i 'Approve-d as 'presented/based on informat'ion' presented Denied as presented . asc l;L'or ell all S 41 viAt, cam; of Bu 1d1nc Inspector A to NOTE: Wuanov of 4 zonlnp.pormlt d000 not rollwo an applloant'a burdon to comply wlul all zoolno roqulromonts and oUWII all r.qutrad ponrit from the Board.o(Honllh, conoorvaUon Commioolon, Dopnrlmanl of Publlo Nftka and oUior oppllcablo ponnll praliUnp nulhaltlud,