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32C-165 (31) 10. Do any signs east on the property? YES NO IF YES,describe size,type and location: � E ft� / `�'�/f`►��4 t4 A7("'r r^ 1 Are there any proposed changes to or additions of signs intended for the property?YES NO L/ IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. ThI: cci== to be filled is by the Bcilding Department Required Existing Proposed By Zoning Lot size + +C* No :eo3o1 Frontage f� 3� ,s*,� ('� 0") Setbacks - side L• b R:�_ L: - rear ,,, 30 S Building height �Ag S " Bldg Square footage 13, !Saco %Open Space: (Lot area minus bldg &paced parking) # of -Parking Spaces 2 C O ;Z(a O e of Loading Docks O 0 Fill: {volume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my know=1l�dFe. Dn D2ffE: 3 �`� APPLICANT'S SIGNATURE C , IYiC� NOTE: laauanoe of a zoning permit does not relieve an applioanirs burden to comply w!tw 4111 zoning requirements and obtain all required permits from the Board of Health, Conservtotion Commission, Department of Publio Works and other appiioable permit granting authorities. FILE # 2 22n File No. i DEPT OF 8 U 1 I �6G lNSP T PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: C# W � C . IQ•T`i'k2w � T�v/�4tK E Address: /oZ Yft P4 i JP1V SV T ob 4W Telephone: V13 S-; G 2. Owner of Property: (&6A) SQAME r 4—Lrx Nub wr Address: I ZA PkZffh r Sr_ N Telephone: t0_1 3. Status of Applicant: Owner Contract Purchaser y Lessee Other(explain): 4. Job Location: /0124 &EA1*27— T- korl&vw 7bou Parcel Id: Zoning Map# &�?e- Parcel# /& J District(s): _ (TO BE FILLED D IN BY THE BUILDING DEPARTMENT) ®l S. Existing Use of Structure/Property ErJTA4t 1f A+ h )C 6 9&tge 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 0NST'*44C 1'0 64*.54p r ,DiV i0,4 -IF- Oki VAL K4 7. Attached Plans: f/ 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/Vadance/Finding ever been issued for/on the site? NO � DON'T KNOWN 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 4,--- 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) File#MP-2000-0151 APPLICANT/CONTACT PERSON CHEW CHEW,INC. *, ADDRESS/PHONE 125A PLEASANT ST (413)586-5364 Q PROPERTY LOCATION 125A PLEASANT ST MAP 32C PARCEL 165 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FO FILLED OUT Building Permit Filled out Fee Paid Typeof Construction: CONSTRUCTION OF OUTSIDE DECK FOR DINING&DRINKING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: 1 Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding nding Required under: § 9b3 1A 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 Board of Health Well Water Potability Board of Health Permit from Conservation Corrl'mission Permit from CB Architecture Committee Signature of Building O ficial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission, Department of public works and other applicable permit granting authorities.