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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. G ,� Alterations tom'
= s""""�oti NORTHAMPTON, MASS. - i S 19 7 CI Additions
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APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 336v "L" 'e[) ,r ti 13 , a1 C. Lot No.
2. Owner's name �� �/��.✓ l i L .�Svc Address 7 "O u 4 e.✓ ✓/> L t r iJ f
3. Builder's name, � i/. .✓ � ��t ,vc Address i/ S~3
Mass.Construction Supervisor's License No. L 5 6 Expiration Date 3 ��
4. Addition ^,-4)
5. Alteration /cre i=
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire �✓u
9. Garage ^/0 No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof Z2!:'/,-v
13. Siding house
14. Estimated cost:-
The undersigned certifies that the statements are true to the best of his, her
knowledge and belief.
/ azure oLsponsible app icanl
Remarks - 5Z << �
rdie�i US ur
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Date Filed File No.
ZONING PERMIT APPLICATION
Zoning Ordinance Section 10.2
1. Name of Applicant: J �'5� _�1� � s��� 71,2Z
Address: Telephone:
2 . Owner of Property: c ot/ A,-—z-- c k' 7i 2-,7
Address: V
/ Telephone:
3 . Status of Applicant: r/ Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel# ( .
Zoning Districts) L
Street Address
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property
Size of Structure (sq. ft. )
Building height
% Building Coverage
Setbacks - front
- side
- rear
n-**o Lot Size
Frontage
Floor Area Ratio
%
Open Space
Parking Spaces
Loading Spaces
Signs
' Fill (volume & location)
LL 6 . Narrative Description of Proposed Work Pro 'ect: (Use
additional sheets if necessary) cc
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained
herein is true and accurate to the best of: my kn e.
Date i _ U Applicant's Signature: j
THIS SECTION FOR OFFICIAL USE ONLY
Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspector Date
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