32C-224 (14) 10. Do any signs exist on the property? YES NO x �+
IF YES,describe size,type and location:
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 aoiu= to be fi1.I.ed in
by the Bai2dini Department
Required
Existin Proposed By Zoning
Lot size 0
Frontage
Setbacks - frnnt
- side L:�R: L: R:
- rear �Qw�
Building height �� l
Bldg Square footage
%Open Space:
(Lot area minus bldg 2QQZ/
&paved parking)
# of Parking spaces A4
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE:' S13 If'�— APPLICANT's SIGNATURE �" /—
NOTE: lssu oe of a zoning permit does not relieve an npplionnt burden t th ply,wi all
zoning requirements and obtain all required permits from the Board of H . Consiervation
Commission. Department of Publio Works and other applionble permit grt&nting authorities.
FILE #
�5 � i tt`}t........................
�(
Fi 1 e No. 3�
OF BUILI)IN61NSPEffl
ZONING PERMIT APPLICATION (§1 _� Rp�gMPTON MA 01060vS
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: c2m l/"F- 'I'0AXIC?
Address: �q f �` Telephone:44? —C� k.
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Street Address: �W
Parcel Id: Zoning Map# Parcel# District(s):�,
(TO BE FILLED IN BY THE BUILD*. DEPARTMENT)
5. Existing Use of Structure/Property
6. Description otRzoposed Use/Work/Proj Occupa Pon: (Use,additiopal sheets if necessary):
S
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.
8. Has a Special PermitNadance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds? ,
ti
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—LI-1 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)
-'" 9P
FILE I
t00R3
APPLICANT/CONTACT PERSON: Ci&dt��
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP c 3 2-(2- PARCEL• A V ZONE 61.---
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fin,Pnid
L/
a
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presented/based on information presented
/Denied as presented:
Special Permit and/or Site Plan Required under:§
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under.§ r 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-Bd of Health Well Water Potability-Bd Health
rmit fro onse ation Commission
/JS
atuie of g pmtor Xnt's
NOTE:Issuance of a zoning permit does not relieve an applio burd en 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.