29-030 PER ,I ' APPLICATION SZ
p ZONE 1 . ;
Pj,, ES DATE
PAGE ' '
ZONING I I 3
N NG FORM APPLICATION g�
2 . PERMIT
3 OW I F NOT
4 . 3 SETS OF PLANS /PLOT PLAN
NEW CONSTRUCTION
6 . CURB CUT
7 . WATER
8 ,
REMODELING INTERIOR-
9 . ADDITION
0 , A CES8ORY STRUCTUR
11 . SIGN Z AWNING
13 , SPECIAL IF APPLICABLE
14 . UNDER SECTION — C R 780
15 . FORM A
6 . FILL
COMMENTS : � Q . �.L F- � S .. e
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 1 q1�✓ Additions
APPLICATION FOR PERMIT TO ALTER Repair
,✓
Garage
F�
1. Location A?7� �"`1�� �� 64`'A)4-.
Lot No.
2. Owners name J / L,g r-k. 3 Address /?Y,,f P) WW �Id X%s of G
3. Builder'sname ��r 3i0•a 4 T ,.�'N c:, Address ?79/ �r4 4. a -7/Av , j,)
Mass.Construction Supervisor's License No. C. 1 Expiration Date dt ^
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 1>>tV y 1 S Jai a 6,
14. Estimated cost:- Y 3 6'0,-r'
The undersigned certifies that the above statements are true to the best of his, her
know-leedge and belief.
1207. .1—
Sign re of responsible appucanl
Remarks l
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