25A-046 (10) 10. Do any signs exist on the property? YES K NO y
IF YES, describe size,type and location: /S 1 c4
Are there any proposed changes to or additions of signs intended for the property?YES NO_Z,_
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col— to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage zgU Cv0 7 7
Setbacks --
- side L: R:�`l �'`� L: '� R: �
- rear
Building height Z1v
Bldg Square footage y5-ggZ
%Open Space:
(Lot area minus bldg C2 -r)-
&Paved parkingi v v
of -Parking Spaces ZZ- 1
h# fof Loading Docks
O CJ
Fill:
'4vol-ume--& location) D
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know dge
DATE: - ` j �� APPLICANT's SIGNATURE
NOTE: 1nau noa of a zoning permit does not relieve an app ant's burden comply whir„all
zoning requiramants and obtain all required permits from a Board of Ith, Cohaer'vatioi
Commission. Department of Publio Works and other applloabla permit g nting authorities;
w!.iir FILE �`
' t A 81997
—.I ,i File No. 96 C)/--v
isONS
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE O/R�i PRINT ALL INFORMATION
1. Name of Applicant: Aarl-1]Gtm/�/U/� /'�0/1 f�S�rs �UC/e/Z, </I
11 �
Address: 6-/ BC/ le-5 9lree-f Telephone: L'YI-3 )
2. Owner of Property:_ /U
/V 4r�haTogn �o� ftvsSar� cSo C/e j //7 e ,
Address: Y71-ree74- Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 51 94 fey S-�ree f'
Parcel Id: Zoning Map# Z54 Parcel#' District(s): �1
(TO BE FILL-ED IN11 BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property /!cam f
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
a Lirz4/ ext s fi d!�E Sc-k), fj6, 360 0 eV
Z C',�sS���.n s; ��4�a�y D fi�Ie5 f3Ot
7. Attached Plans: Sketch Plan Ite Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Varianc r indingler been issued for/on the site?
J��e
NO DON'T KNOW 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
S, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained issued:
(FORM CONTINUES ON OTHER SIDE)
FILE # 962138
'2
� �! r
APR 1 1997
a PLIC CONTACT PERSON:����6�L
ONE:
PROPERTY LOCATION:
MAP o?�{9 PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Myilriin2 Permit Filled 011t
ryC �2u
Fee Paid
Tape of C-anetn►rtion-
New Cnnttn►rtinn
Remprlelina Tnterinr
Arrecenry Strurtr►re
Owner/nrsnl2ant Statement or License
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: `
Approved as presented based on information presented
Denied as presented:
Special Pf�it and/or Site Plan Required under: § /0,/0 /0,//
!-* 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
,Sept/ic Approval-Bd of Health Well Water Potability-Bd Health
!v ermit fro Conservation Co fission
Signature of Building or Date
NOTE:lssuanoa of a zoning permit does not relieve an applloanta burden to oompty with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservatlo
Commisslon. Department of Publio Works and other applioable permit granting authorttles.