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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No Alterations
NORTHAMPTON, MASS. J g Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location L", —Lot No.
2. Owner's name '� Address _ h 1-i�Vin
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date Z k-
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
13. Siding house —`
14. Estimated cost:-
The undersig d certifies that the above statements are true to the best of his, her
r knowledge i
Signature of responsible appicant
Remarks
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Date Filed File No.
ZONING E IT APPLICATION §10. f)
1 , Name of Applicant: (,,a_
Address: Telepphone: A
2 . Owner of Property:
Address : ;11 tA Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcelf
Zoning District(s) (include over ays)
Street Address
Required
5 . Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior w r)U, sk ' to #6)
Building height
oBldg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
oopen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description f Proposed Wo k/Project: (Use additiona she is
s
if nece ary) — — y- ,° l
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7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the informa 'on contained herein
is true an accurate to the best of my knowledg
Date: Applicant I s Signature: 0,
— -- — r r — — ^THIS SECTION FOR OFFICIAL USE ONLY. r
v A roved as resented based on information resented
PP P i . - p
Denied as presented--Reason:
special* Permit and/or Site Plan Required:
Finding Required: A Variance Required-
Signature of B ldzng Inspector Date L`j
NOTE: Issuance of a zoning ponnit does not rcllave an applicant's burden to comply witli all zoning roquiroments and obtain all required pormits
from tho Board of Hoafth, Consorvalion Commission, Dopoamont of Public Works and other applicable pormit granting authorMos.
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