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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
aNORTHAMPTON, MASS. 19�$� Additions
I APPLICATION FOR PERMIT TO ALTER Repair
/f Garage
1. Location 1?ti° rt r Lot No
2. Owner'sname Oa_L41/ae //C.oL1oa'171 Address �vZ �r✓S'>�rsv� Cr-
3. Builder's name s Address 3 �.s�" ST
Mass.Construction Supervisor's License No. (, G cf Expiration Date G3/
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house /1-114 06
14. Estimated costo"Fo d,Go
The undersigned ce ifies that the above statements are true to the best of his, her
knowledge li f.
Signature of responsible app icant
Remarks
.gib
1 '37
Wte Filed File No.
ZONING PERMIT APPLICATION (§10'. 2)
I . Name of Applicant:
Address: �J_ - �, Telephone:
2 . Owner of Property: .. r ���Q�4 A:� ff„g-e
Address: 72 �;I�,�rn" C-.-� Telephone: 5'B'C //92:�
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# Parcel# ��
Zofting Districts) (include over' _ys)
Street Address
Required
5. Exis-tinq Pro nosed by Zonin
Use of Structure/Property AZJ
(if project is only interior work, skip to #6)
Building height
!.'-Bldg.Coverage (Footprint)
Setbacks - front
- side L: R: L
- rear
Lot size
Frontage.
Floor Area Ratio
oOpen Space (Lot area minus
building and parking) `
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed �ore,�/Project: (Use additional sheets
if necessary) _�12eQ/4 c t-/7gC-47'
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
3
is true and accurate to the best of my knowledge.
Date: Applicant's Signature:
THIS 8E69I6N FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as_ presented--Reason:
Special* Permit and/or Site Plan Required:
''n 'ng Requ' `ed: Variance Required:
9crat a Building In _ct.Qr "�j at
NOTE: issuance of a zoning permit does not rcuove an applicant's burden to comply witli all zoning requirements and obtain all required permits
from the Board of Hoalth,Conservation Commission, Dopaitmont of Public Works and other appiicablo permit granting authoritios.
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