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No.».._.....
Erection»...„.............„.....( )
Alteration......................( )
Plans must be filed with the Building Inspector, Repair...._____( )
Repainting...................
( )
before a permit will be granted, Removal.........................( )
Ti of Xort4anrptou, Mass.
Application for a Permit to Place or Maintain a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE.......... PAGE.......... PLOT..........
Y
Northampton, Mass.,... 1.. ..... ..Y.......................-.....19.. 1'.
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME.... .r� .....� %wl .....I ........��----.................................I.............
�.... ........... � :.
1. LOCATION, STREET a',ndppNo.... ..... ......„. '...... '.... ..................................................
2. Owner's name.... .f. �,�.. .l!�...».�-�„� _.......„.».....»............... ........... _....»..........
3. Owner's address.. 6....tom.. .. „ .... .. 4 - :..........: ��` .. ....... ........ ....... »f`'�u ....»..
4. Maker's name....... . . „...a .............................................................................................................
5. Maker's address.... 3 ......1�� „J�- .....................................................................................`.�.................
6. Erector's name........4 r....L » �
..............................................................»......................... »...»...
7. Erector's address........ ..C?...... !'..„....».. w'.... !! ............................... ..........»...:.................................................
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated..................non-illuminated.,X.._..... (Designate)
2. Will sign obstruct a fire escape, window or door //.L..... Marquee.....................................
3. Lower edge will be...`,�„' ....ft......`...`......ins.above the public way. Projecting.................»....„.........
4. Upper edge will be.Z U...ft.......1�1.......ins.above the public way. Roof.....„..........................................
5. Height....`,r...�v.Jt..................ins. Width....Y°„„ft.....„....».....ins. Temporary.......................»........
6. Face area.l ...„.....sq. ft. Wall.....„.................................„.....
7. Inner edge will be.....G. „„..ins from the building or pole.
Ground......1C......................„.....
8. Outer edge will be...lZ...»„.»ins.from the building or pole.
Other......................._....„..............
9. Face of building or pole is»» .::'......ins.back from the street line.
10. Sign will project....U.„.„..ins.beyond the street line.
11. Sign will extend....... ..ft...................ins.above the building or pole.
12. Of what material will sign be constructed? Frame.....„G,l.} ». Face...................
13. Estimate cost...`&....:: '
The undersigned certifies that the above statements are true to the
best of his knowledge and belief.
Z a .... ...». ....� .. „»„»»...„_..
(Sign ture of Owner or Agent)
NOTE:In order that this application may be accepted, the data called for above must be set forth
CLEARLY and FULLY.
1 ;
Date Filed �c� 002196 File No.
ZONING PERMIT APPLICATION
I. Name of Applican
Address: - 7 Telephone:
2 . Owner of Property:
Address:. Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 2C Parcel# /7 ,
Zoning District(s) (include ove ays) 1
Street Address ,
Required
5 . Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
'r
7 . Attached Plans: _Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained- rer`ein
is true and accurate to the best of my kn�o/wledge.' D
Applicants SignaturDate: �2'z 1
THIS SECTION FOR OFFICIAL USE ONLY: r r — — — —
1proved as presented/based on information presented
,Depnied as presented--Reason:
Special' Permit and/or Site Plan RegL
F' 'ng u 'red: Varianc equired: _
gnatu of Build' ector Dat
NOTE: Issuance of a zoning permit does not tciieve 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 authorities.
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