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10. Do any signs east on the property?
YES NO
IF YES, describe size,type and location: 51
2�i(
Are there any proposed changes to or additions of signs intended for the property'?YES `� NO
IF YES,describe size,type and location: Imo ) lG� I �7 ld GojZ-f--
�
11_ ALL =ORafATION SST BE COMPLETED, or PEPA.TT CAN BF DETETZ'ED DUE TO
LACK OF =ORKATIOA.
Required I
Existing Proposed By Zoning
Lot size R
Frontage
Setbacks -
- side L: R: - L: R-
- rear
Building height �a
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved par? ig)
of -Parking Spaces I
of Loading Docks
Fill:
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I �e
I3 . Certi1CatiDn: I hereby cert?�y t fit the 1:., rTl3t2Dt r COntBLP.�d ?r�
` n
is tz-ue and accuz'Zt2 to the best of ry kn edaa
D 3 Icy B APP�_CA-VT s SscxATURE
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z-pni=tg r,&quiremftnis mmd c>btatF[z mH r_-quirec€ per-r-tits €corm _him 04wmnc =, E-4saml h.
�orzrrsEssTon, Dapsrtmerzf of Peso€►o Wcn-k= aknd other a,� f ag5te permet grd rmtireg atuf€orfies.
F I.iE ;
File No.
ZOYING PERMIT AP PL1 CA T ZON (§10 . 2)
?=SE TYPE OR PRTT ALL =O-R aTTON
i. Dame of Applicant:_ X-
Address: ...? tc- . Z `►- P 1 , i� 104---Telephone: 911
2. Owner of Property: 8 v v j: "I
Address: to �i,, , itiU Teiephone: S�`l'
3. Status of Applicant: Owner Contract Purchaser_-"Lessee
Other(explain):
4. Job Location: S
Parcel Id: Zoning Map# Parcels District(s):
(TO BE FILLED IN BY THE BUILDING DEPAR T NIENT)
5. Esdstng Use of Structure/Property-
6. Description of Proposed Use Mork/ProjectlOccupation: (Use additional sheets if necessary):
')1.��,�k� N tip= ���� G r% Q•5,�`L S�(rJ '--�°"` �*� `�v:.�S.hr``�
7. Attached Plans: Sketch Plan Site Plan Engineeredi ftrveyed Piens
Ann ers to the fo:lv�;ng 2 questions may be obtained by checking with the Building Dept or Planning Departrnent Ries.
S. Has a Special PermWariancernding 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?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document
9. Does the site contain a brook, body of water or wetlands? NO DOIS i KNOV,! YES
IF YES, has a permit been or need to be obtained from the Conservation Co mission?
Needs to be obtained Obtained date issued:
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Plans must be filed with the Building Inspector, - Repair ( )
fi=x
Repainting before a permit will be granted, Y Removal__ ...._-( )
it Ajarthamuta S+
Application for a Permit to Place or Maintairn a Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE.......... PAGE.......... PLOT..........
Northampton, Mass.,_
To the Building Commissioner:
Application for a permit to place for maintain a sign or other advertising device, or marquee.
BUSINESS NAME.... .... :f................................
1. LOCATION, STREET and No. _ ](L__1
2.- Owner's name_ Pa v'v'� L11-�
3. Owne 0 to-,kl
4. Maker's namis_ CU 1 JI: S&.i 1-7ris(6")
5. Maker's address__._Gam. Sr
6. Erector's nam (0.� ^.L_E
7. Erector's address. DE? _ a^'2� 57T
SIGN i KIND OF SIGN
1. Sign will be (check one) ill uminated...____n on-ill uminated (Designate)
2. Will sign obstruct a fire escape, window or door? r'40
Marquee....
Projecting_..
.`. Lower edge wiii be rt. �S.above the public way. _ _
4. Upper edge will be __.ft._ ._ins.above the public way. Roof_
5. Height_____._. ft 'L2-- ins. Width_______ft._!g ';ns. Temporary....._.......—_____
��.. Wall..._..
6. Face area_1..! _Sq. ft. ��.__.._._.
7. Inner edge will be_ _ins from the building or pole. Ground _____
8. Outer edge will be —..._...ins.from the building or pole. Other._.._..__.._..____
i
9. Face of building or pole " 1 L... back from the street line.
10. Sign will project. -ins.beyond the street line.
11. Sign will extend_—._ _ ft_Z-a_.ins. above the building or pole.
12. Of what material will sign be constructed _ Frame._..Y _ _ .__ _ �---
� ace_._.'__...._......-----..._.___..
13. Estimate cost.4A.�r1?. �U
The undersigned certifies that the above statements a�e e t9/,
best of his knowledge and belief. �
(Signature of Owner or Agent)~ -
?vOTE:Izl order that t2 1 application may he accepted, the data called for above mist be set north
CI:E ARI,Y and FLZ,LY.