32C-113 (12) pl„),
Date Filed 1-25-94 File No.
ZONING PERMIT APPLICATION (510 . 2)
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1 . Name of Applicant: Paul E. Hebert Jr. "•.1, I►,b P�F\"v`lr
Address : P.O. Box 234, Haydenville, Ma 01039 Telephone: 585-1627
2 . Owner of Property: Fleet Bank
Address: Telephone:
3 . Status of Applicant: • Owner Contract Purchaser
Lessee X Other (explain Potential Buyer )
4 . Parcel Identification: Zoning Map Sheet' ZG Parcel# (( 3 ,
Zoning Districts) (i.lclude o erla )
Street Address 5q -
3 Required
5. Existing Proposed by Zoning
Use of Structure/Property 3 Family/Commerc al—Retail Same
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open 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) I need to verify that the detached commercial office/shop (old
kitchen p-/1l ) `d« continue to be used for similar purposes (Hebert Plumbing and
Beating). Also, the existing sign can be used again.
7 . Attached Plans: Sketch Plan Site Plan ��
8 . Certification: I hereby certify that the info - atio contained ein•
is true and accurate to the best of my know :dge. ,/
Date: D - / _ 9/ Applicant's Signatur: : „o��j ; ,,�ummor
THIS SECTION FOR OFFICIAL - = ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
/ in: ing o quired: Variance Required:
Ir
. 14//7Y
gnatu - : Buildit. - for
NOTE: issuance of a zoning pormlt dew not relieve an applicant's burden to comply with an zoning requirements and obtain all roquirod permits
from the Board of Health.Conservation Commission, Doportmont of Public Works and other applicable permit granting authorities.
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PERMIT APPLICATIO C EC < IS •
S Ni DATE
3 . OWNER OCCUPANT STATEMENT 1 LIC, # IF NOT
4 , 3 SETS OF PLANS /PLOT PLAN
5 , NEW CONSTRUCTION
6 , CURB CUT
7 W. ; _ •:u
S , REMODELING INTERIOR
9 . ADDITION
10. ACC_ SORY STRUCTURE
1 AWNING
2 ONLY - MONEY ORDE•
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION_ 127 - CMR 780
15 . FORM A
,16 . FILL
COMMENTS: