22B-008 (27) Date Filed 0030 ( ,_
File No.
ZONING PERMIT APPLICATION
1 . Name of Applicant: +
Address: I Z d S n %f\CA �c�e e} r�lephone: 1413
L4 to r C n ►'1'l� O 10(x,v n -
2 . Owner of Property: �/ e4S e
Address: 13amg Telephone: 41 - 6,Y4
3 . Status of Applicant: V/ Contract Purchaser
Lessee Other (explain )
Zoning Map .-Sheet# 2_.�?— Preel#
�--� lclude ov rlays) %tJS
Required
Existinq Proposed by Zonin
.rty
tterior work, skip to #6)
print)
t V
L: J R: U L: 106 J,- R: i �
a minus
Signs
Fill (volume & location)
6. Narrative Description of Propose Work/Project: (Use additional sheets
if necessary) ✓v0. ,"V;
422
r
7 . Attached Plans: V//Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowl ge.
Date: '�� `t Applicant,'s Signature: ��-
THIS SECTION FOR OFFICIAL USE ONLY:
proved as presented/based on information presented
Denied as presented--Reason:
Special" Permit and/o Site Plan Required:
2F' din,% Requir - Variance Required:
Snatur o B Alding It a or e
� ALL
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply With all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Dopartmont or Public Works and other applicablo pormit granting authorities.
Date Filed r 0 0 3 0 I'
File No.
ZONING PERMIT APPLICATION
I . Name of Applicant: E I n hod
Address :_44, 4___S
4 d S n�r „1 a t c < e,t TF61ephone: y 13
��lorCn � . f'}'l10 1o�, v n
2 . Owner of Property: '%l e4S�
Address : 1 36 en -� Telephone: 1 3-�5g4 - O9
3 . Status of Applicant: /Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map . Sheet# 2-2 hP reel# '
Zoning District(s) (include ov rlays) �I
Street Address ,
Required
5 . Existin Proposed b Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
oB1dg . Coverage (Footprint)
Setbacks - front : i i
- side L: ,OQ R:
- rear
Lot size
Frontage
Floor Area Ratio
oOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
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 knowl ge.
Date: '�� Applicant' s Signature: �, --
THIS BECTION FOR OFFICIAL USE ONLY
proved as presented/based on information presented
Denied as presented--Reason :
Special" Permit and/o Site Plan Required:
F ' 'din Requir variance Required: 141,
S natur o Building Itpspe or e
NOTE: Issuance of a zoning permit docs not relieve an applicant's burden to comply witli all zoning requirements and obtain all required permits
from tho Board of Health, conservation commission, Department of Public Works and ollier applicable permit granting authorities.
it 9')-
PERMIT APPLICATION CHECK LIST
PA PLOT ZONA YES NO DATE
}K
1 . NING FORM APFINIMATION
2 . VPERMI AP I
3 . OWNER OCCUPANT STATEMENT # 01F NOT
3 SETS OF PLANS ZPLOT PLA
5 , NEW CONSTRUCTION
6 , CURB CU
7 , WATER AVAS
8 . REMODELING
9 , ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN AWNING
12 , PERMIT FEE - CHECK 0 - MONEY ORDER
13 , SPECIAL PERMIT REQUIRED WITH DFED IF APPLICABL
14 , UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS ;
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