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35-195 (6) i t ` �� 1 ��..w�..r,....�.�.�__..� - 1.._.�____-____ __ � 1 -�-- ',,� i, r �2," �. i � � -----�i �-, .- c: �<� - — — — — �, ,P- x 3 _ i �s � � i � _._ 4 c� � r• i� , © � f � � ,� � P V � G �._y �, --� ' � 3 /� -i 1 1 _., i.. 1 �: i ,...__.. . .._. ..._.._ 'i �v� , -- j i 10 Do any signs exist on the property? YES NO r/ IF YES,describe size,type and location: 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 MOST BE COMPLETED, or PERMIT CAN BE DENIED DOE TO LACK OF INFORMATION. Thin colt== to be filled i, by the Building Department Required Existing Proposed By Zoning Lot size .0 ; Frontage Setbacks frnnt 7q r I - side L: R: L: `I0' R: 3a - rear 301 -~ y, Building height ^1 Bldg Square footage LI a sQ FT. '�`� �g S�1 Ft� ° a %Open Space: (Lot area minus bldg � � C r '/fl &p=eed parking) V i r # of -Parking Spaces e 'of Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the information contained herein _a is true and accurate to the best of my knowledge. DATE: - APPLICANT's SIGNATURE NOTE: luounnoe of as zoning permit does not relieve an applioants burden to comply witlr'4ku zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio works and other applicable permit granting authorit!"U. FILE # ,gam APR 1 4 File No. 963 e 1 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 019010 To/L f / k lez Address: � z t'A V4 U "')'T, Telephone: 2. Owner of Property: ' 'oa cam . Address: 11 2 2 3 U'e:15 i Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): r"a 1, r ,om ' �2 4. Job Location: t' !1, I"9 �ieo . Parcel Id: Zoning Map# )_5 Parcel# T's District(s): �) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) �- 5 Existing Use of Structure/Property S/&f cc, h I AI) it- r LS 1O fr Wit^ a�. 6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary): L AOoo X l 01411,y 4e C3 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Vadance/Finding ever been issued for/on the site? NO 4---" DON'T KNOtAl 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 s , 1. APPLICANT/CONTACT PERSON: &a��(_ A.DDRESS0#6NE• 12 PROPERTY LOCATION: ,?Z NIAP_ �' PARCEL: J ZONE S THIS SECTION FOR-OFFICIAL USE ONLY: PEPMM APPLICATION CHECKLIST ENCLOSED REQUIRED DATE lRiii1ding Perrnit Filled wit Fee Pnid Rniidina Plans,Included u THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: A proved as presented based on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING 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: § �. o— w/ZONING BOARD OF APPEALS ,( ,e ►401 Received &Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability S }.iep� od o�Iealtb `Well Water Potability-Bd Health Permit from Conservatio mmission Signature of Building for Date NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public, Works and other opplioable permit granting authorities.