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10. Do any signs exist on the property? YES _ NO
PIlZEGTvfzY 5KN Sw c0(ZtJ-5t20
IF YES,describe size,type and location: F
ApPI2oX. =p" X '4
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This COlnmm to be filled i.n
br the Building Department
Required
Existing Proposed By Zoning
Lot size 80168 NV CHANGE
Frontage d D NO C HAK6"E
Setbacks - frnnt 22 tv0 �HaNGr:
r ,, NO CHANGE
} - side L:_0 R: 1' 6"
-6 L: R:
{�
- rear r2' NO CHANGE
Building height MO 6HAN6C
Bldg Square footage 1P ViU+ 325 _ 77Nl (A
325 Oro NEW weltiolt me-at.)
%Open Space:
(Lot area minus bldg - SS? N-V CHANGE
&paved parking) ..�_
i N 145
# of -Parking Spaces 28 Zg
f of Loading Docks
Fill:
4 vol-ume-& location)
13 . Certification: I hereby certify that the information cC herein
is true and accurate to the best of my know edge.
DATE: �1 IQ /�� APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an p foant's burde mpty wt la�$Ii
zoning requirements and obtain all required permits f the Board of Health. Corse tion
Commission, Department of Publio works and other app cable permit grariting authorities.
FILE #
• 4
i1L i 4 1
File No.
OF9t►� -r
IONS
PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: J'OK b I H t P O LP
Address: ONE SHORT ST. , NHAM Telephone: �$(o' Z�y 32 EXT. 110
2. Owner of Property: 5AMF- AS AboVf-
Address: SAtAE AS PhBoyE Telephone: SAMe As ASevE
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: ONE SHORT STKEE?/-?dd �
Parcel Id: Zoning Map# � Parcel# District(s):_ _
(f0 BE FILLED IN BY TH BUILDING DEPARTMENT)
5. Existing Use of Structure/Property M IX E D US E : Dr-F I CE / R E.sl DE N rjA L
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
RE-F3U11-b STIZULTVkAL-LY UK50UND GAf12AGP- A5 FINISHED SPACE
( NO C>f AN6� To �XI sriN4 FOOTPRINT)
7. Attached Plans: _��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.
S. Has a Special PermiWariance/Finding ever been issued for/on the site?
NO DON'T KNOW V 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 11", 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-2000-0006
APPLICANT/CONTACT PERSON HEROLD JORDI
ADDRESS/PHONE 222 PLEASANT ST 5862632 EXT 110
PROPERTY LOCATION 222 PLEASANT ST
MAP 32C PARCEL 168 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING F FI D OUT
Fee Paid
Building Permit Filled out -
Fee Paid
Typeof Construction. REBUILD STRUCTURALLY UNSOUND GARAGE AS FINISHED SPACE
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.
enied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
f/Finding Required under: § - v WZONING 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 Co s ' n
W/ 5 +
Signature of Building Official 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.