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35-005 (10) 10. Do any signs exist on the property? YES­ ­ NO_ Ne__ IF YES, describe size, type and Are there any proposed changes to or additions of signs intended for the property?YES_ NO IF YES,describe size,type and location:- 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To LACK OF XNFORM-ATTON. Mtx C-T=mm to be ;6ZE12'ed im by the 13'ai7,q4-q Department Required Existing Proposed By Zoning 14 S. Lot size 1Lot 4--15 Lot 4 Z60, e-9 Frontage Lot-S 51,oo' Lolr(o 1151-00' Setbacks -frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) h�I -pf :Parking Spaces Loading Docks Fill: '4vol-time-& location) 13 . Certification: I hereby certify that the information contained herein i� is true and accurate to the best of my knowledge. DATE: APPLICANT's SIGNATURE­ _ �;/-Z- NOTE: Issuance of a zoning Permit doles not relieve an applicant's burden to oomply with.h all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiloabla permit granting authorities. FIrF v . JUL 61991 Y Fi 1 e No. / ZONING PERMIT APPLICATION (§10 . 2) PLEASE: TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_�O'—e_ Lis �t1L Address: . 0 401 Telephone:�W1–Soo j 2. Owner of Property:_ Sl�, � _►_� e� �i-lL1L Address: Telephone:,tk�n—$CO 3. Status of Applicant: __—)(--Owner _ _Contract Purchaser Lessee Other(explain):__ 4. Job Location: _��, - ,Gy_ �� �4_aCd--�� Parcel Id: Zoning Map#— 11J _ Parcel#--,15. -- , District(s): PC )Q� (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property___\-&-ca Q4-_-LO _ 6. Description of Proposed Use/VVork/Project/Occupabon: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan _ Site Plan !� Engineered/Surveyed Plans Answers to the following 2 questions may he obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitA/ariance/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—)�,_ 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) FILE L- 61997 APPLICANT/CONTACT PERS N ' 5d DEPT OF WMRES'S/PHONE: ��% �, 162 7 PROPERTY LOCATION: MAPS ' PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE LED Building Permit Filled wit Type of Construction- NP.v Cnnctrurtion RPmnfielinu Interinr Aririition to FYisting Arrrccnr-v �trtlrtlir'P $nil_ dint I lane Tnehirled- (lwnPr/Orrrrnant ,'�tatrmrnt nr T irPncP # THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIW Approved as presentedfbased on information presented Denied as presented: / h Special Permit and/or Site Plan Required under: § �1 �� 2 �i l . �O (o, 1 l __X_PI_.ANNING 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 Septic Approval-Bd of Healt Well Water Potability-Bd Health nit se ion Signature of Building Inspector Ilale NOTE: laauanoe of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commisslon, Department of Publio Works and other applioable permit granting authoritles.