32C-143 (13) Date F1 Ted7
11/' File No.
ZONING PERMIT APPLICATION
01990 Zoning ordinance section 10.2
DEPT iDo
dUILDIN*��W! licant:-
Air J,
Tdleph6ne:
2 . Owner of Pro p'ertv�
>:
Address: Telephone:,-,-,
3 . Status of Applicant: Owner Contract Purchaser
Lessee other (explain:
4 . Parcel Identificatio�n: oning Map Sheet# C Parcel#
Zoning District(s)
Street Address,"4
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property
Size of Structure (sq. ft. )
Building height
% Building coverage
Setbacks - front
- side
- rear
Lot Size
n-0 Frontage
Floor Area Ratio
0 % open Space
- Parking Spaces
Loading Spaces
Signs
LL_ Fill (volume & location)
0 6 . Narrative Description of Proposed Work/Prolect: (Use
addit;Vonal sheets if necessary)
Af,
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: 7-1-7111-L-- Applicant' s Signature:
;THYS_S'fCTI3N_F�5R7oYFYcYAL UsE UNEY:- - -
Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspector
Date