32A-138 (59) i
4 .
002103
Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: /-(" 6,,hr
Address: •9D21.0a gokn 1&J / icjpM4 Telephone:a6P7,r0/
2. owner of Property: //,,, 4--, /1,5-<46”41e--)Address: /5J" "1 37: /Uor/i-+c-jfon Telephone: S-Y6-4-#6
3 . Status ofjApplicant: owner Contract Purchaser
✓✓Lessee Other (explain:
4. Parcel Identification: Zoning Map Sheet/ 32- M- Parcel! 132
Zoning District(s) (include overla s) C
Street Address ( 'h r i.
Required
S. Existin. Pro.osed b onin.
Use of Structure/Property c& ( is rd,Se,.• c
(if project is only interior work, skip to #6)
Building height 'j P✓t. 's s' G'm+u
%Bldg.Coverage (Footprint) /05., /o%
Setbacks - front
- side L: R: L: R:
- rear
Lot size _
Frontage ,?$' at'
Floor Area Ratio Too sm Pr sae ss FT
%open Space (Lot area minus
building and parking)
Parking Spaces O C
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) .441 S (lyvn '2 t 47/denr ?? p'-e,t , Ue
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: /2//7/ 73 Applicant's Signature: - e%).
TRIS SECTION FOR OFFICIAL USE ONLY:
/Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or site Plan Required:
:-ding R>- ired: Variance Required: /q
loge
Ana(u a of Buxldin1 spector D to J
NOTE: 4uuance of a zoning permit does not roliave an applicant's burden to comply with oil zoning requirements and obtain all required permits
horn the Board of Health Conson eton Cammtseion,Department of Public Works and other applicable permit granting meliorates.
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