25A-109 (10) 10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
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 COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be filled is
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
' &paved parking/)
o f -Parking Spaces
f of Loading Docks
Fill:
'-(volume--& location)
13 . Certification: Thereby certify that the information contained herein
is true and accurate to the best of my know ge.
DATE: APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an lioan ~ , n to oom wit
zoning requirements and obtain all required p PAY Ir •all
q permits ! m the Board of Health. Conservation.
Commission, Department of Publio Works and other applioable permit granting authorities:;..
?'..
7,, FILE # :.
FEB 3 1997 w
File No.�� Czr: 1
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR P=rT ALL INFORMATION
1. Name of Applicant:
Address: _2 l�>.r 'z =<s, �; ,/ i� ZL Telephone:
,6
2. Owner of Property:
Address: :3 '"j _�_, ,�ji/ :rj V> Telephone: /y
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map#--�2--5-w_ Parcel# District(s):
(TO BE FILLED IN BY T E BUILDING DEPARTMENT)
5. Existing Use of Structure/Property --
6. Desc 'ption of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
,;/ i�13� �f -� ,'!!'L- f/l_ �'/.PZ�"�l'. ��i7�' /,✓��i���1�`s''; P�t?�'/ �'-C�LLv' �f�/:�5
7. Attached Plans: Sketch Plan Site 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/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW � � `(ES 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)