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29-305 (3) PERMIT APPLICATION CHECK LIST PAGE F PLOT r3G � ZONE -� YES NO DATE ,?C/ Acrc-brc�ci', Dr 1 . ZONING FORM APPLICATION Flo L - j - X7- 73 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT LIC C . # I F NOT tp C' 4 . 3 SETS OF PLANS PLOT PLAN D cc 1 f),e Tc h P/0-C 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER VAIL BILIT FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 1 . SIG N / AWNING 2 . PERMIT FEE - CHECK ONLY - MONEY ORD R C. cC) 13 . SPECIAL PERMIT -REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : R r 1 r w M IV ti ANNIN i J n�• f R'I R a • W♦ t � Y n s s oQ n z cr b —S,'© •L0r lQCi �} `♦` UJ rq Q� L7 °� 1-� w � sip n Ar oq ilk O I 2 k 3 So t= C -TZ� 1 ` 1 l{ p — Tc) EL -IZ f=7— 'S �►' ' "C o 70 "d C � d b C r a ozn CZ CIE: y O Z d O Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations n Additions a NORTHAMPTON, MASS. Z� 19�� Repair APPLICATION FOR PERMIT TO ALTER Garage 1. Location Ar-�X-tllrrk L t No. 2. Owner's name � � 1 Address 7 c " 3. Builder's name kddress f Ox �L ( . Mass.Construction Supervisor's License No. C? Expiration Date_ 4. Addition 5. Alteration t-' 6. New Porch ---� 7. Is existing building to be demolished � 8. Repair after the fire - - 9. Garage � No.of cars Size 2G X 7,0 10. Method of heating v 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- r r ,L3 �'}�nE 5 ,1 l`I► N'�' `� �� The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible applicant Remarks Date Filed 1 - �z'7- 93 File No. ZONING PERMIT APPLICATION (§1A 0 . 2) 1. Name of App icant: � l��tC Address: Q , t , Telephones: 1170 2 . Owner of Property: Address : Telephone: - 3 . Status of Applicant: owner Contract Purc lase (,,r,J r I Lessee Other (explain: ( �� � I ,�;d�' ) 4 . Parcel Identification: Zoning Map Sheet#a2_ Parcel#�_, Zoning District (s) (include overlays) 8.A Street Address Required 5 . Existinch Proposed/-) by Zonis Use of Structure/Property i (if project is only interior w r , sk 'p to #6) Building height %B1dg. 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 Descrip ' on f Proposed Work roject: (Use additional he is if necessary) , ��I - or �� cu C- c y 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: Applicant's Signature: - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: JN Approved as presented/based on information presented E I1 Denied as presented--Reason: Special Permit and/or Site Plan Required: il,;NS F ' d ' g Re ire Variance Required. J9 gnat or Buil 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, Department of Public Works and other applicable permit granting authorities. r t # s 1 F .. Y m, win- any roof 's a at � '�'�s S x -� '��1��� ��r� "�""G`.� � .%�, �,a•, �� ,�� �'"� � e fi=x.,, , � 3r c�,tw',3°'� �; �'`"�k�r--z ,.� &# i,..;z�, k$i+' �k C .�-.i. � �• '� 'f'4 "3y*,+M'„g S'x,.'-Y _ },tihj-�.-} `S� OEM' c Wmn + ON k $ `M4 vavn���!e fl ' .s' � •�" �"��.,.ms's}k�r�� �x� �` r �,n. :�x.- °'�' .-' �-* � ,���' E 4c � 4 r & h xy� 4 Mill IN Fz 12 or KIM.`:,�`vj�u -�y�. ever•x � too ? � arr Yr r-�,:,'a 7 a _ z,•'M, re „p^.ai - S ra.��. 'xs�s �.z,. ova no E + a� W-4-4 r oil Novo °ro a' � �"+ .rx"�' G'�� �,�' •��e dryh `� y3'"a Y �,'" 4! k *k.�*' ''n t --------4 av i'f n w Z • to Q •,ti c °� �' � c G 14 o w °, rn o �o LO Ul 0 co 'D cm P. `; bd R. CA 0 ftr CA x rr 5 � o �• moo �' y w IE :0 C1 5 y ® g 8 W b �•' ti QQ 4 a. to ,� ; OZ