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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
so NORTHAMPTON, MASS. 19 Additions
Repair
APPLICATION FOR PERMIT TO ALTER Garage
1. Location ZD G.il,i CI s l %e-,'I', Lot No. -- II//
2. Owner's name �� e ' Address Z-r7 i�c�.r,�s/- z �rr. /dam ill{,
3. Builders name eLf E -� vac ` -Z'Xddress J7 7
Mass.Construction Supervisor's License No. 5 lq G15 Expiration Date
4. Addition
5. Alteration 1;5 11te '04 Ic"I -{ �1 �'W"IJ�S Nlc✓ �i s��,93�,,, �f.✓h- i s ,
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 tements are true to the best of his, her
knowledge and be ' f.
) /-5
Signature o e applicant
Remarks
PLAIN, _TwSNOP
.y
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Date Filed File No.
ZONING PERMIT APPLICATION (510 . 2)
1. Name of Applican
Address : 5 'L Telephone:
,.. . Owner of Proper y:- K w zJ ��L
Address : Telephone :.. _ 33
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#
Zoning District (s) (include overlays)
Street Address
5 . Req:!ired
Existina Proposed b Zonis
Use of Structure/Property ,C,
(if project is only interior work, s ip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
side
rear
Lot size —
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building_ and parking)
Parking Spaces
_.. . .. - _Loading
Signs -`
Fill (volume & location)
�6, Narrative Desc p ion of Pro se W rk/Pr j 1. Ause additional sheets
a, �£ nec s a y) x ro
�
h,.
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 knowl +,
Date: C-q —Applicant' s Signature- c
-/- - - - - -THIS EJECTION FOR OFFICIAL USE ONLY: - _
J Approved as presented/based on information presented
Denied as presented
Reason for Denial:
Signature of Building Inspector Date
/2
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