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�5 Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. " - � Alterations
=a� oy NORTHAMPTON, MASS. -� / 19 Additions
-''
APPLICATION FOR PERMIT TO ALTER Repair Ly
Garage
1. Location P Lot No.
2. Owners name %> f' -° Address -
3. Builder's name '. ,,. Address
Mass.Construction Supervisor's License No Expiration Date
4. Addition
5. Alteration �` {
6. New Porch
7. Is existing building to be demolished? P/
8. Repair after the fires
9. Garage ' No.of cars Size
10. Method of heating
11. Distance to lot lines `
12. Type of roof
13. Siding house i t
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
kno �l belief,?,..
Sig nature,of)responsible applicant
1
Remarks
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