36-295 10. Do any signs exist on the property? YES_
IF YES, describe size, type and IocaUon:___ ________
Are there any proposed changes to or additions of signs intended for the property?YES_ NO
IF YES, describe size,type and location:
11. ALL INFORMATION MUST BE COMPLXTED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATTON.
Mix —7— t:0 be E122ad in
by the 8ui2dimg Department
Required
Existing Proposed By Zoning
Lot size
Frontage !D
Setbacks --Jmnt-.--.-
- side L:--R: L:,N..S5 R:28 6� � C>
- rear IC16 4
Building height 1 3,
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking) r7,
# pf -Parking Spaces
1.
of Loading Docks
Fill: Lb
'4vo1-time--& location)
km cub I �6tC6
13 . Certification: I hereby certify that the information contained herein
0� is true and accurate to the best of my knowledge.
DIUE: -I-D�Al APPLI CANT's SIGNATURE—
NOTE: luuumnoe, of a zoning permit does not relieve an applicant's burctar to comply with all
xgnlng r4L-quiraments: and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applionibla permit granting authorities.
Lilt, F I T,F" I
JUL 2 31997
Fi l e No.-96 d"5 S5
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ' -DQ j-�K� L
Address: Telephone: Cal - oD J
2. Owner of Property:_
Address:en _= Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: l
Parcel Id: Zoning Map#^�� Parcel#j29— District(s):
(FO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property � k -7
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan __ _Site Plan __Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by cher:king with the Building Dept or Planning Department Files,
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO.�, DON'T KNOW i YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book _ Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO_)( — DON'T KNOW YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained__ _ Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
FILE #
.A� 2 3
APPLICANT/CONTACT PERSON: Cep �2 ✓ �`'i - c
ADDREss/PHONE: b
PROPERTY LOCATION: Of' — ( G
MAP PARCEL: V ZONE
THIS SECTION FOR.-OFFICIAL USE ONLY:
PERNIIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Pnirl
Riii1ding Permit Filled ont
J901
Addition to Existing
Arresspi:y Strurtnre
W
THE T_LOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased 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
I/
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
Septic Approval-Bd of Health Well Water Potability-Bd Health
P fro ors a on
Signature of Building ector Date
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorittes.
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