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D!�t d File No. ?() 3
ZONING PERMIT APPLICATION
1'�" YINS Zoning Ordinance Section 10.2
e of Applicant: THE COOLEY DICKINSON HOSPITAL INC--
Address: 30 LOCUST STREET Telephone: ,5R2-2n0n
2 . Owner of Property: THE COOLEY DICKINSON HOSPITAL INC.
Address: 30 LOCUST STREET Telephone: qp2-2000
3 . Status of Applicant: XX Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 23B Parcel# 46 ,
Zoning Districts) 30 LOCUST STREET
CL Street Address
5 . Compliance with Zoninct: Existing Proposed
Use of Structure/Property
Size of Structure (sq. ft. ) 360 SQ.FT.
Building height 9' 0"
% Building Coverage
Setbacks - front N/A
- side N/A
- rear N/A
Lot Size N/A
ry Frontage N/A
Floor Area Ratio N/A
Open Space N/A
Parking Spaces NONE REQUIRED
Loading Spaces NONE REQUIRED
Signs NNE REQUIRED
Fill (volume & location) NNE REQUIRED
0 6. Narrative Description of Proposed Work/Project: (Use
additional sheets if necessary) PORTABLE BUILDING (MODULAR) - FOR USE
AS AN INDEPENDENT BUILDING BETWEEN SOUTR WIN D RECEIVING AREA TO BE USED
AS A SMOKING AREA FOR PERSMEL. INDEPENDENT OF H SPITAL MAIN BUILDINGS
7 . Attached Plans: XX Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained
herein is true and accurate to the be m le
Date: AUGUST 6, 1990 Applicant's Signatur
THIS'SECTION FOR OFFICIAL USE ONLY _ ---.
Approved as presented
Denied as presented
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