23A-012 (3) { x�
004201
1.;
Date Filed, 7 9 /`�J _ File No.
ZONING PERMIT APPLICATION/ (§10 . 2)
1. Name of Applicant: C/4�'«3 //F'^,•'v' >
Address: r}c- AAPa 57' Telephone: -C>4 .LSt/?
27
2 . Owner of Property: (e2: Ku /
NF$
Address : aim{""/Mk:yr e-- iy65-'SY/
3 . Status -of Applicant: Or-Owner Contract Purchaser
Lessee _Other (explain: . )
A . Parcel Identification: Zoning Map Sheet#
_ wPt ULC
arcel# /a
Zoning District(s) (includm � ays)
Street Address elS '
Required
5 . Existin• Proposed by Zoning
Use of Structure/Property QI„udd, j . Jssj 4Nwr.-=-
(if project is only interior work, Uski to #6)
Building height Yr 33 '
oB31dg .Coverage (Footprint) 2,33 sc•r'' 9 Fr1 5`Fr 3OYs
Setbacks - front R,zn%ornear P(c,.r%o.'a,Nt 30'�
- side L: %Sly- R: 7'G ,. L: hay.' R; /,C " IV
- rear. 1,3' Z6 Y"' 'AB'
Lot size G3 9i /0 Ex-0
Frontage /+ '
Floor Area Ratio
'--
%Open Space (Lot area minus
building and parking) F/ 00 '-F ,it) °fp
Parking Spaces
Loading
Signs -
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) y't1;" /3' ya.HF cro c,/'c,e4 'c /1.,}22/fl'
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. ,
Date: �//�/ 7ed'— Applicant's Signature: c 'C'7 %'�--- .".
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
I/Denied as presented--Reason:
Special` Permit and/or Site Plan Required:
r i • ing Reln'r/ T(,3,( 4- q33 Variance Required,
Ar
• gna'"u 0 •f -zullding spec ` /atee•
NOTE: Issuance of a zoning permit does not rnllove an applicants burden to comply with all zoning requirements and obtain all required ponnls
from the Board el Health,Conscwouon Commission,Oepottmord of Public Works and oto; apprcabto permit granting authorities.
' 9O_