35-046 (16) ate, Filed 7 00268
File No.
ZONING PERMIT APPLICATION (§i0.2)
1. Name of Applicant: ��l,cr�-sE .a. �aRovowx,-z
Address; 9�S RY�it� 1ro�e �Uoe�s�yr�lPrdv, -?A, Telephone: -
� a
2 . owner of Property: r, 4A,'tsE ,b, �RDiyo.rvljy �+✓a -��+�=E«F �iy�f'aa�y
Address : Rego ;�t/alzTi,�.v r�.erv,✓, IV�j, Telephone:
o�06L7
3 . Status of Applicant: /Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# 3--5� Parcel#
Zoning District(s) (include ove lays)
Street Address (5 ,
Required
5 . Existina Proposed by Zoning
Use of Structure/Property A.FsrA--.vice J44Esrbr�.ICE
(if project is only interior work,.. skip to #6)
Building height 7
%B1dg. Coverage (Footprint) lo '7o- o
Setbacks�7%!- - front or- 1,,,,,�'s � e-
- side L: R:,:�`- L: R:a -1
11-13 - rear ,r /
Lot size 3
Frontage.
Floor Area Ratio b a
oOpen Space (Lot area minus
building and parking) 967 71, 07,
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Descri tion of Proposed Kork/Project: (Use additional sheets
if necessary) ZI- 7-o ?/ e. CeQ,,. � p� o / dole y w s" 1 r
c, a_t- d of p le e-( U %
-e .V cs d r O U I lz C F 1-Ve All
o e-ve G
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 knowledge.
Y-7�
Date: Applicant's Signature: - �
�, THI EC F UE
S STION FOR OFICIAL S ONLY:
✓Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
ind 'ng Reg ' ed• — Variance Required: _
*9' ��
Signature of Buildi.ng__. or - ate
NOTE: Issuance of a zoning permft 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 granling authorities.