35-005 (9) ........................
ti
10. Do any signs exist on the property? YES NO
AX
IF YES,describe size, type and
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 BF, COMPLETT.D., or F-ERM-TT CAN BI? DENIED DUE To
LACK OF INFORMATION.
ThJLX colu= t;0 be ffjjSad fa
by the Bni2dimg-Department;
Required
Existing Proposed By Zoning
Lit,t 3(0U
f�
Lot size I.&
Frontage Lot,Z' 5.)
L• t3 5� ,t
Setbacks -front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
._--
(Lot area minus bldg
&paved parking)
# _pf -Parking spaces
f'of Loading Docks
Fill:
'4vo1time--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DME: APPLICANTs SIGNATURE_j
NOTE: Isaunnoa of am zoning Permit does not relieve an applicant's burden to comply with all
zoning r"uIraments and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable Permit granting authorities.
Oh'
aL 1 61997 f -
( Fi 1 e No._ F0
s
I`T°` ._. . ..BONING PERMIT APPLICATION (§10 . 2)
PLEASF, TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:__ _ -1-C �}J .Q.��j
Address: �, � � 1 .__ ,j n Telephone: 7�3co I
2. Owner of Property`z�C\W— L&C rs loc.
Address: ? _ _ i _7U�7 Telephone: ? goo
3. Status of Applicant: _ _( Owner Contract Purchaser -_Lessee
Other(explain):_
4. Job Location: 1,�
t
Parcel Id: Zoning Map# s Parcel#_ __ District(s):_
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �OCO-n+_._1�_
6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary):
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 PermitA/ariance/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?
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 k 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)
M
._ FILE #
a + b (�
DE ICANT/CO TACT PERSON: L V d 7-goo f
1g1PT Of � --
1DSS/' �N
PROPER3LOCATION:
MAP CJJr PARCEL: ZONE
THIS SECTION FOR..OFFICIA.L USE ONLY:
PERMIT APPLICATION CHECKLIST
CC ENCLO ED REQUIRED DATE
{ L tJ
Fee pAiri
Type, of Constnirtion-
New C onstrnrfinn
Addition to Exisaing
Building Plnnc Included- _
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased on information presented
?< Denied as presented:
Special Permit and/or Site Plan Required under: § {�' jQ'j(�� 10,
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: § 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
Permit from Conservatio o m'
Signature of ui ding Insp or Date
NOTE:Issuanoe of a zoning permit does not relieve an appiioant's burden to oompty with atl
zoning requirements and obtain Bill required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authoritles.