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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. yy� Alterations
G' Additions
NORTHAMPTON, MASS. 19�
e Repair
a ' APPLICATION FOR PERMIT TO ALTER
e Garage
1. Location -3 ' ✓ :�" J)12— I&,12-&ef-.Le- Lot No.
2. Owners name Lti"�� /� Address 59-,-n�_--
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New 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 cost:-
The undersigned certifies that the above statements are true to th est of his, her
knowledge je I ,f
Signature of responsible applicant
Remarks �-''�zL—��
PRINTnSHOP
4�N 1
Date Filed -/CI- 9 Q-� File No. acj- /9-6;-
ZONING PERMIT APPLICATION (§10 . 2 ) u R A
1 . Name of Applicant:
Address : QUc,Q�ra� �Q —� �ic�F�.� Telephone: 37-25Z �G 2 . Owner of Property: llr fjz6t�
Address: Telephone:
3 . Status of ApplicantQ(_Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel# 19Sr
Zoning District(s) (include overlays) EA
Street Address
Required
5 . Existina Proposed by ZonincT
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) G,x/S;�cCT �`X�ST/,tf� l �t �5- x' f��S� �£i.�lti SGT
C`✓�rfiil G % =.Ltd Ole?)
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledg .
Date: Applicant ' s Signature:
— — — — — — — — — — — — — — — — — — - - — —F7p THIS SECTION FOR OFFICIAL US' ONLY:
g; AUG 1 9 k ICI
y Approved as presented/based on information presented
Denied as presented I
s for D ial: S
gnatu e f -Building r--- Date
NOTE: issuance of a oning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission,Department of Public Works and other applicable permit granting authorities.
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