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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. /zo 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location XYe,? 161 Lot No.
2. Owner's name � ��� L�,Gr �' .�icy? Address
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date `/��✓/°�J�
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 4L5
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statcmcnts are true to the best of his, her
knowledge and belief.
A- 0
Signature of responsible ap
Remarks
r r , 003$9
Date Filed _ File No.
ZONING PERMIT APPLICATION (910. 2)
1 . Name of Applicant: �. f^
Address : - Telephone:
2 . Owner of Property:
Address : Telephone:
3 . Status of Applicant: Owner t,,-C-ontract Purchaser
Lessee Other (explain,* )
4 . Parcel Identification: Zoning Map Sheet# Parcel#�j -,
Zoning District(s) (include oft rla )
Street Address G,
Required
5 . EXistinq Proposed by Zonin
Use of Structure/Property
(if project is only interior work, Ukip o
Building height
o Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: R:
- rear _
Lot size
Frontag$.
Floor Area Ratio
oopen 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)
7. Attached Plans: Sketch Plan Site Plan
8 . certi.ficatio_n: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: Applicant' s Signature:
j THIS SECTION FOR OFFICIAL USE ONLY: r
1� Approved as presented/based on information presented
Denied as presented--Reason:
S ,-ecial' Per iIt and/or Site Plan Required:
nd 'ng quxred: Variance Required:
74
gnatyire o _ specter to
NOTE: issuance of a zoning perm$does not relieve an applicant's burden to comply with all zoning roqulroments and obtain all required pormits
from the Board of Hoalth,consorvation Commission, Department of Public Works and otltor applicable permit granting avthoritfos.
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