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Date Filed File No',
102r:LNG c FI21dT'(' APPLICATION
Zoning 10 . 2.
Name of Applicant 8, 4-_�.SJcf
Address : _ 1_ Lr tI2Cs _— Jf Telephone
2 , Owner. 07° Prop erty ; �-, ?'_>� ____
Address
Telephone ;
3 St�c'ltLlS of. Apn.l cant. : 7Z- Olelnel, contract Purchaser
Lr:ssae Other (exp1.ain ; )
4 . Par. cel fdenti.ficati.on ; Zoning Map Sheet# P'arcel�`
Zoning District ( s)
Street Address
5 , Conlpla
: with Zoninc{ ; taxisti.ny Proposed ;
Use of Structure/Property
Size of structure (scl . ft , )
Building height
Building Coverage
Setbacks - .front not
sideR+�+aT t9 ' L 'T ta-S
f - rear
{1 Lot Size . ? lr=
Frontage �. AI. S'
Floor Area Ratio
Open Space
Parking Spaces
Loading Spaces
Signs _
Fill (volume & Location)
6., Nar.rati,�re Description of Pr. onosed WorkJPro' ect ; (Use '
addita 6na.l. sheets if necessary)
7 Attached Plans : Sketch Plan Site plan
8 , Cert'ifi.cation ; :t hereby certify that the 'iht ormat.ion, contained
herein is true and accurate to the best of my knowledge ,
Date : 5 .! ' °/1 Applicant ' s signature
THIS-SECTION FORrOFFICIAL USE ONLY :- -
NLY : _
'Approved as presented
Denied as presented '
Reason for Denial :
Signature of- Bdild.ing 'Inspector. . Date. S �/
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Zoning s
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
so NORTHAMPTON, MASS. 5 / � 19�L Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location ,elf L /� /%��� Y� Lot No.
2. Owner's name �, vZ-� �^�S!� Address
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition �� `f ` �I /� 13cv�� / lLOcc 1206 1.
0
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- -y -90 tQT- f ' �1 3 c� EPEE ��� j`
12. Type of roof
13. Siding house
14. Estimated cost:- -6 o
The undersigned certifies that the above statements are true to the best of his, her
nowledge and beli
_� (.--
Si 'Ure of responsible applicant
Remarks
PHINTaSHOP
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