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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 191L Additions
a J-APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name %i,� lep-zge Address 3 G 4 tcu ti,Pi
3. Builder's name Address 2 A,-4—
Mass.Construction Supervisor' License No. - C Expiration Date 1919.s
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 -1, -
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
10 knowledge and belief. f
Signs re of responsible app icanl
Remarks
}S
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00341
` Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applica t.. Cl`
Address: 36 p �z�u-ce��,�, Telephoner%(
2 . Owner of Propert
Address: , (� ctvr � w Telephone:
3 . Status of Applicant: K Owner Contract Purchaser
Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet# 5_2C, Parcel# /T/,
Zoning District(s) (include ov lays)
Street Address
Required
5. E?;istina Proposed by Zoning
Use of Structure/Property v �
(if project is only interior work, skip to #6)
Building height
%Bldg.Coverage (Footprint)
Setbacks - front
- side
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Propose Work/Project: (Use additional sheets
if necessary) -
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: �9y Applicant's Signature: �� a
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
LJApproved as presented/based on information presented
Denied as presented
on-tor D 141.A
Vj Date S gnature of u' erg" Inspector
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 audIorities.
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