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HADDENDUM
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SKETCH ADDENDUM
--.------------ awrence. Nancy Jones
roperty Address._-. 86.Florence.Road .._._
City_-._____ Qrthampton-.... COTI' -.Hampshire Slate MA
Lender ___B13.
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Bear oorn
Living i 15 x 15
1 x 24 j
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_ Beth 14� x 15
j l0'x 8
Kitchens
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j Bedro(m i
9 x 12
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Der? j I SUF3JE T PROPERTY I
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Subject 7o Pro perty
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FW73A I IYG n9 �wnn rn�r��.,,,,1 wn�,n,�ion.CIS Ilevnn.r,r UrS11 All i IBnn)poi 4f,4a Ilan HI 129(0
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Date Filed File No .
ZONING PERMIT APPLICATION (§10 . 2 )
1 , Name of Applicant :� , 't , Tnrvec
Address : ,¢ fi C) itic&1( e Q,-, �,� Telephone : S YY-
2 . Owner of +Tr}ti'e s
Address : r`� nr �� �, Telephone:
3 . Status of Applicant : �\ Owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification : Zoning Map Sheet# Z V Parcel# ,
Zoning District (s) (include overlays)
Street Address,
Required
5 . Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)T''r
Building height ,a Y7 _
%Bldg. Coverage (Footprint)
Setbacks - front __
- side
rear �i P,
Lot size '? (,
S,,
Frontage —' Z z _, k"
Floor Area Ratio _ --
%Open Space (Lot area minus
building and parking)
Parking Spaces j
Loading .
Signs
Fill (volume & location)
6 . Narrative Description Proposed Work/Project: (Use additional sheets
if necessary) ,i,�,
13,12RA0624A e7h,,Q Tiur i
4�, , c_L i3 � J��..rlw�i> �=3� ;) Tv�� _��7-Cr<l;l.• /�'x� T� �J�u-c. r3 r' ��� i�T�
7 . Attached Plans : Sketch Plan Site Plan
8 , Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
r
Date : �/1 C).-- Applicant ' s Signatures/�0��_ 1�r�'�
THIS SECTION FOR OFFICIAL USE ONLY:
—.,Approved as presented/based on information presented
Denied as presented
Re r&on for De ial : , 2_--
Si natur of in nspector Date
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply witJi all zoning requirements and obtain all required permits
from the Board of Hoalth, Conservation commission, Department of Public Works and othor applicable permit granting authorflios.