35-277 (5) 7�f
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File#BP-1999-0583
APPLICANT/CONTACT PERSON Gunnar Jonsson
ADDRESS/PHONE 266 River Rd(413)586-7755 ([ lr
PROPERTY LOCATION 84 WOODLAND DR
MAP 35 PARCEL 277 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSEp REQUIRED DATE
ZONING FORM FILLED OUT ✓✓
Fee Paid
Building Permit Filled out
Fee Paid Z&9— ,
Typeof Construction: SFH 2 STORY W/ATT GARAGE/DECK
New Construction
Non Structural interior renovations
Addition to Existing
AccessoEy Structure
Building Plans Included:
Owner/Statement or License 034709
3 sets of Plans/Plot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability Well Water Potability Board of Health
Permit from Consery n Commis ion
Signature of Buil . g Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.