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sQ[� Zoning
Miscellaneous Additions,Repairs,Alterations,etc.
/el.No v `f Alterations
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a NORTHAMPTON, MASS. ' 19 Additions
APPLICATION FOR PERMIT TO ALTER Re p air
Garage
1. Location Lot No.
2. Owner's name il/ C7 Address
3. Builder's name " W _Address ✓de l
Mass.Construction Supe isor's License No. GS��� 3 _,_Expiration Date
4. Addition
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
12. Type of roof
13. SidingJau" r JL Gri
14. Estimated cost:- j
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. �_,�_, ,�
Signal e app,ican
Remarks
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Date Filed File No.
ZONING PERMIT APPLICATION (910 . 2)
1 . Name of Applicant: ,
Address : o ,� - Telephone: s�?y- Y-r `
2 . Owner of Property,: loza-i wws� U
Address ; Zk 6 S Telephone: '�"
3 . Status of Applicant: Owner Contract. Purchaser
Lessee Other (explain:_
4 . Parcel Identification: Zoning Map Sheet# Parcel — =f-r
Zoning District (s) (include er ay ) C4,
Street Address
Required
5. Existing Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: •R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project : (Use additional sheets
if necessary)
r
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification : I hereby certify that the information contained here '
is tru a d accurate to the best of my knowledge .
Date : �; Applicant' s Signatur
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason :
Special• Permit and/or Site Plan Required :
Finding Require Variance Required :
e
n f u ' i ��e c tor 2with e
,�N E: Issuan' c of a zoning permit does not rel eve un applicant's burden to co all zoning requirements and obtain all required permits
from the Board of Hoolth, C�.,rvdtlon Commission, Department of Public Works and other applicable permit granting authorities.
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