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10. Do any signs ebst on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES--Z NO
IF YES,describe size,type and location:
Y - Sr L' /I�Ti9C F�
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols CO bs fiZ].ed in
by the R-2d—g Depart=-.t:
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area menus bldg
&paved parking)
# of Parking Spaces
#` of Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowl dge.
DATE:: // r
APPLICANT'S SIGNATURE_ ��j �
NOTE: 1 uan a of a zoning permit does not relieve an applioanY burden to oompty Wit" all
zoning requirements and obtain all required permits from the Board of Health. Conservtstion
Commisslon. Department of Publio Works and other applioabla permit granting authorities.
FILE #
�. ....P '
JAN 1 1999 ,3
f "T OFsu
:'�, Fi 1 e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INF0RMATI0N1,2E P,4 kI4 0✓01
1. Name of Applicant: R'�t�.rQri/.git�l�i tJ.(1 �inrtl.5 �� t�'s �,i$S� F7�F
Address:ZZ�, Ail X Prep) Telephone: S-YC 2
2. Owner of Property:���s�T,</.A.c�F✓�r.-.� ik e0eleC. i
Address:.&x-�2al- t),MZWX4A76- A1 Telephone: .�5
3. Status of Applicant: Owner Contract Purchaser Lessee
�ther(explain): �?f�A/�iTAl3GC :AiC1i� }T�l��
4. Job Location:
Parcel Id: Zoning Map# •5 Parcel# District(s):
(TO BE FILLED IN BY THE BQILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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/Variance/Finding ever been issued for/on the site?
NO DON'T KNOV%1 �✓ 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)
i
a �
File#MP-1999-0072
APPLICANT/CONTACT PERSON NORTHAMPTON LIONS CLUB-PETER IGNATOVICH
ADDRESS/PHONE P O BOX 3 -585-8778
PROPERTY LOCATION 152 CROSS PATH RD
MAP 25 PARCEL 015 ZONE SC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FI L
ee ai _
Building Permit Filled out
Fee Paid
T peof Construction: CAR SHOW 6/6/99 )
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
&OF Si tom R1an-Re-quir`ed 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: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commis n
r`
Signature of uilding Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.