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File No.-
2O lING P11,RMIT APPLICATION (§10. 2)
Nav f t p I i cant:,___.
C-
__Telephone:
2 . Owl-1,,_� Df Property
:Yo C,
AddrCs's : ou 17/A OP A// P __Telephone:
.
3 . S
of Applicant: Owner Contract Burchaser
----Lessee _� Other (explain:--cio,41or-re r
4 . 1)arce_'. Identification: Zoning Map Sheets Parcel§
Z
-3id,mi District (s) (include . overlays)
Address
T-e PF—F
5 , Existing ProDosed Required
Use D ,, Structure/Property 'IV r
qM1 - 06M
Qi elct is only interior work, skip to M*i6qp
B;_3 d i n a height
coverage (Footprint-)
e front �A
side
rear
F-_o",t.a ci e
Floor Area Ratio
%Op'l-ii Space (Lot area inin—us
building and parking)
Pa,L-k-:.ng Spaces
L 0 a q
F i_7- v 0.7 u 17,e & location)
6 . Description of proposed Work/Project: (Use add ' L nal sheets
n
Sketch Plan Site Plan
I hex eby c,��rt. L_ffy that the information contained herein:
accurate to the best of my knowledge.
D C Applicant ' s Signature:
THIS SECTION FOR OFFICIAL USE d_NfY_-.
as presented/based on information presented
71.; presented
Denial :__
_L 3 71 q Inspe [_-oi: bate
not 1,tlid tl "o cu(TIJAY kill Zoning iuquirenierft and obtain all tcquirud punnitzi
... ,.r aplAic4lblo, p,mut granting awlioriii,,!,
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. l Tel.No. Alterations
so NORTHAMPTON, MASS. �` 19-1_ Additions
Repair APPLICATION FOR PERMIT TO ALTER Garage
1. Location ClAq 110611 Ir/0 Ponce Lot No.
r--- 1 �r
2. Owner's name Address i L
3. Builder's name Address n S
Mass.Construction Supervisor's License No. 0 o Expiration Date
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 50 5 li aD i 1^
12. Type of roof
'/I r i
13. Siding house V A'1
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
)a
W Signature of responsible applicant
Remarks W
PHIN, T±SHOP
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