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10. Do any signs exist 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 !_ NO_
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colum to be filled in
by the Building Department
I Required
Existing Proposed By Zoning
Lot size 5V�
Frontage
Setbacks - frnnt
- side L: - R: L: R:
- rear
Building height
/
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paged Fay t:.Lr]g1
# of -Parking spaces ! .'
#
of Loading Docks
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the information c ntained herein
G is true and accurate to the best of my knowled
DATE: -
APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an amp li is burden to oompty wit4 ail
zoning requirements and obtain all required permits from a Board of Health. Conservation
Commiselon, Department of Publio Works and other applionble permit granting authorities.
FILE #
1
r
FEB 2 0 1998
Pmp G s 9
ppee File No.
ElectriNorrtlh mbiton&Aa01060ctions ONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION"
1. Name of Applicant: A e
Address: SCI 6LCg!z lP't M �T A(LickP_ Telephone:�l
2. Owner of Property: or.E.n,C .
Address: CC) Telephone: �y�0 �
3. Status of Applicant: Owner Contract Purchaser�essee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Z Parcel# District(s): --5�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: Use additional sheets if necessary):
;-0A o g 5
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 PermitNadance/Finding ever been issued for/on the site?
NO X _ DON'T KNOW 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)
a... ,��� FILE I 963229
JRK01 ,1998 It
NT/CONTACT PERSON:
ADDItESS/PHONE: 157 9 �.
PROPERTY LOCATION: CANz _
MAPS PARCEL: ZONES
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLO ED REQUIRED DATE
Fee Pflid
Addition t�Rykfin2
3 Sets cif PlAns /Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION-
Approved as presentedfbased 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: §__S, w/ZONING BOARD OF APPEALS v\ `� `����`� '
_ iS riot allow-kc�
Received & Recorded at Registry of Deeds Proof Enclosed ri y
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
P it from Cron/serva . Comnais '" n
Signature of Buildin&jgpector ate CJ
NOTE:Issuanoe of a zoning permit does not relieve an applionnt'n burden to oomply with all
zoning raquirements and obtain all required permits from the Board of Health, Conservation
Commlealon, Department of Publio Works and other applioable permit granting authorttles.