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32A_156C 5 Bridge Street Zoningw . File NO._0//O� ZONING PERMIT APPLICATION (§10. 2 ) PLEASE TYP;�, OR PRINT ALL INFORMATION r I On_( 1. (same of Applicant: �� t1 �` � ��- N u �-rr � a ' 46 �. Ulf Telephone: t,V A%� C-7 d lC Address: , 2. Owner of Property: rG �rt1S� Address: UD ,e 7' P j f Telephone: S �� l! P 7 3. status of Applicant: Owner Contract Purchaser __L"e ee Other (explain): Job Location: &-CYST Parcel Id: Zoning Map#__ Parcel# District(s):_ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans ✓ Sketch Plan Ll 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 Permi ariance/Finding ever been issued for/on the site? NO DONT KNOW - YES - IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES.—. ---- IF YES: enter Book Page and/or DDocument # g. Does the site contain a brook, body of water or wetlands? NO t/ DONT 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) 10- Do any signs exist on the property/? IF YES, describe size, type and location: YES Z NO Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: (-/ I1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. 2ILis eol== to be filled is by the Building Department rn 13. Certification: I hereby certify that the informationcon ained herein G} is true and accurate to the best of my knowledge. - p D71 -'1'E: - /l % APPLICANT'S SIGNATURE NOTE: issuanoe of n zoning permit does not relieve an applloant's burden to oompty with all zoning requirements and obtain all required permits from the Board of Health, conservatlon Commisslon, Department of Publio Works and other app11oab1e permit granting authorities. 3, FILE # v.'a Existing Proposed M-1LjUII CU By Zoning Lot size /L / 2 '7 / S F 5 Frontage Setbacks front /ly �ca S7. - side -rear L:�R: C7 L: /0 0� R: O Building height Bldg Square footage X 0 2 30 2 +szatas / b 2 %Open Space: -(Lot area menus bldg &paved parking) _iof 'Parking spaces 2 sof Loading Docks ' Fill: =(volume -& location) 13. Certification: I hereby certify that the informationcon ained herein G} is true and accurate to the best of my knowledge. - p D71 -'1'E: - /l % APPLICANT'S SIGNATURE NOTE: issuanoe of n zoning permit does not relieve an applloant's burden to oompty with all zoning requirements and obtain all required permits from the Board of Health, conservatlon Commisslon, Department of Publio Works and other app11oab1e permit granting authorities. 3, FILE # v.'a