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Meredith IK Grew l; -61.+1\n�v `-
Worldwide Real Estate Services Incorporated
160 FEDERAL STREET BOSTON,MASSACHUSETTS 02110-1701
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964 N. King Street I: f
Northampton, MA MAY 1991
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Form No.204 Rev 4/91
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-IL MAY 1 51997
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lU1Y 51997 Li
DEPT Of St"'nss+^INcPE^T4SaS
i File No. 96,7? ,s-j____
ZONING PERMIT APPLICATION (§1O . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: AMA/ ,K. &!3 I//i
_
Address:. ,�' /1 Naf1act301
Telephone��1� 71� y 41��E 5�7•- SQ
2. Owner of Property: I.---1 x" r 4 t 1 �i\I A- rI■NA1\ 11 6%i
Address: 5 /f S:LAM ttib1t-ll1111M11; Vi'' d ,J ,Telephone: *) .7"8.--70,670
3. Status of Applicant: Owner Contract Purchaser Lessee
1� Other(explain): iZ T(\i'r C J,")a7-__
4. Job Location: 76‘_ AL IC1/AVC� S(. NOZArtfieVill 1.51 1 :\Af\
Parcel Id: Zoning Map# Parcel# •2/ District(s): 13
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property G'(A k , 1 Y NON - roreively rJQ ) \ f Q
l l ms
/
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
4>. . -flet=f-mote,
7. Attached Plans: Sketch Plan 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 Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW n YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
. 9. Does the site contain a brook,body of water or wetlands? NO X DON'T 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)
n PI t1 FILE # U ? n j
it MIS 1 5 1997 ''` 1
APPLICANT/CONTACT PERSON: / , L ( i.et∎ �E 774-10l(705-- --,45-6�
L.,
St ONE:, C0 �'< - _I ' �f 0 13 1
Qom_ -----
1
. - z 6�-
PROPERTY LOCATION: '�6,(� �G� � �-c' �Q�'
MAP Z PARCEL: 02/ 00 fe
THIS SECTION FOROFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Ce ►/1. • Nu 911 1 • C ta ' 'C• /'_— '�
ee •aid /�!'/"21 ,,X.5.---- ./
Building Permit Filled nut
Fee Paid
Type of C.nctrnetinn•
New C'nnctrnctinn
Remndeling Tnterinr
Additinn to FYicting
Acceccnry Structure
Building Planc Tnrluded•
Owner/C)crupant Statement nr T,icence #
3 Setc of Planc /Pint Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented
XDenied as presented:
ySpecial Permit and/or Site Plan Required under: § J0'/D /0. / i . -='1'1,ti,,,.a.e,/) o e,A t- -j{-
Y PLANNING BOARD ZONING BOARD
I Received &Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
/
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
—
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Pe • from Conservatio mission
,,,.. s--A,74
Signature of Building tor Date
NOTE:issuanoe of a zoning permit does not relieve an applioant's burden to oomply with ail
zoning requirements end obtain nil required permits from the Board of Health, Conservation
Commission, Department of Public" Works and other applioable permit granting authorities.