29-002 (5) PERMIT APPLICATION CHECK LIST
PAGES PL ZO E ��(,h'l� �'Sly YE NO DATE
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1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATION L"
3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT W--o �-
3 SETS OF PLANS LOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 , SIG N / AWNING
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12 . PERMIT FEE CHECK ONLY - MONEY ORDER � . c L-'
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 , FORM A
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. Additions
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APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name �` I X \V ' Address �nllxo \
3. Builder's name �� -% b`��.., _ Address `1
Mass.Construction Supervisor's License No. Q S Q' S Expiration ate -b
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:- 0 ��
1
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
J
S gnature of responsible applicanl
Remarks
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