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(AffK K11 Zoning
Miscellaneous Additions,Repairs,Alterations,etc. hvrn2Tel.No--✓52Y_L7/2 — Alterations
a NORTHAMPTON, MASS. V o&I� /7 19� Additions
Repair
APPLICATION FOR PERMIT TO ALTER Garage
1. Location 1'� 7e Lot No.
2. Owner's name 06r-4A/AL-__
6r- Address
3. Builder's name J� ' Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch D6- %N /fX72 300 S'f 19r f ,d "'( „j 7V 6je--&1A13
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-- �U
4/e AV M T 4-i�b t9"6ak jr-ik oLR— The undersigned certifies that the above statements are true to the best of his, her
"Y Ir ?COL V sf,�690y, knowle and belief.
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Signature f responsible applicant
Remarks
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