35-046 (17) Y o
p = V
trJ r*
G C
a
° n
CL G
.j y b O
Z
5
() 9
O O H
e ~
KIWI
J Zoning ate.
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �-5s , 1 Alterations
ray' Tati NORTHAMPTON, MASS. a— 19-9-0 Additions
APPLICATION FOR PERMIT TO ALTER Repair 1/
Garage
1. Location
�, S� (a Q./t/ /� Cr Lot No.
2. Owner's name �M 'Pro lU o a) / 7�Z Address
3. Builder's name I T a iri t= lb7 tv V e-A, i=ce Address / `U�/7��X / J� /6e 5 T 12*—�y
Mass.Construction Supervisor's License No. O Expiration Date /U 3/
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 undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks 1 ee yav—! O � h / /U/'✓
PNINTaSHOP
•Y7�
4 y;
s
CAN ARM
k
f �
'ff�ff v'
z
Was
�>a
x r
#s i
w
VIVO
Maw
USA �t
9 1
t
s
{
fi
r
x
xp i � b
w
„ ... 02
AZ A . • {
O
It
ar
t6 i
a i
r
SAM " so ,
... w #t .w
y
r . . .:
La ft
eta L't C ,►.� ". '�„ 1�A
Alliom
vii Ig
eyr
# .3 +tea +"fir” C �' 4L o*